REGISTRATION FORM

FIRST JOINT SUMMER SCHOOL ON BREAST CANCER

Access to all congress activities is subject to registration.
Deadline for registration: 14 May 2010

please select either tipology*

€ 300,00 (VAT included) Physicians € 60,00 (VAT included) Nurses

Family name*
 First name*
tittle*
 Speciality*
Address*
 Zip Code*
Town*
 Country*
Phone*
 E-mail*

In accordance with the Italian law n. 196/2003, we warrant complete privacy of personal data. Personal data will be used only for communications concerning the meeting organization.
Confirm *

Payments may be made by international check or bank transfer to:

ARTCOM s.r.l.
CREDITO ARTIGIANO – Agency n. 2 – Milan
IBAN: IT62P0351201603000000000767 – BIC/SWIFT ARTIITM2

Please send a copy of the payment by fax to ARTCOM s.r.l (+39 0289518954) Upon receipt of your registration and after payment clearance, the Secretariat will e-mail you a confirmation letter

Registration cancellation policy

All cancellations must be notified in writing (by e-mail or fax) to the Organizing Secretariat (ARTCOM s.r.l.) according to the following conditions and reimbursement will be processed AFTER the Congress.