| Sex* |
Male
Female |
| Title(s) | |
| First Name* | |
| Middle Name/Initial | |
| Family Name* | |
| Primary Specialty* |
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| Institution/Company/Other Affiliation* | |
| Department | |
| Street | |
| City* | |
| Postal/Zip Code* | |
| Country* |
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| Phone | |
| Fax | |
| E-mail* | |
| Accompanying Person (Family Name, First Name) | |
| Questions, Comments and/or Special Needs? |
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| Registration Fee* |
€ 450 (Physicians, pharmacists, fellows)
€ 750 (Industry)
€ 350 (Students, residents, (research) nurses)
€ 200 (Social)
The Pre-conference Education Day (Wednesday, June 4) is fully booked! Due to the limited seating
capacity and the high demand for this event, we are unable to accept any more registrations for this day.
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