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secretar@bioclima.ro www.bioclima.ro - Asociatia Romana de ...

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CONFERINŢA NAŢIONALĂ DE BALNEOLOGIE<br />

29 Mai – 01 Iunie 2013<br />

FORMULAR DE ÎNREGISTRARE<br />

P<strong>ro</strong>f./ Dr./ Medic____________NUME: ________________ PRENUME: _________________<br />

INSTITUŢIA: ________________________________________________________________<br />

DEPARTAMENT: ____________________________________________________________<br />

ADRESA: ___________________________________________________________________<br />

TEL/FAX______________________/E-MAIL: ______________________________________<br />

TITLUL PREZENTARII ______________________________________________________<br />

Tipul prezentarii: referat / comunicare orala / poster<br />

Formularele <strong>de</strong> înregistrare vor fi trimise la secretariatul comitetului <strong>de</strong> organizare până la data <strong>de</strong><br />

01 Mai 2013, prin e-mail: <st<strong>ro</strong>ng>secretar@<strong>bioclima</strong></st<strong>ro</strong>ng>.<strong>ro</strong>

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