APPLICATION / FEE

Welcome to the online registration form!

Each person wishing to attend ESM 2010 meeting needs to register individually.

The meeting on-line registration form includes sections that need to be completed at one time. The entered mailing address will be used for eventual correspondence relating to the meeting.

Please complete all fields marked (*) as these are required for administration. The fields marked with (**) will be printed on the name badge.

For any registration queries please contact Mrs. Urska Bidovec-Stojkovic at ursa.bidovec@klinika-golnik.si or Mrs. Irena Dolhar at irena.dolhar@klinika-golnik.si or by fax +386 (0)4 25 69 117.

Mr. / Mrs. / Ms. / Prof. / Dr.: *
First name: **
Family name: **
Institution / Organization / Company: **
Department: *
Postal Address: *
City: *
Zip / Postal Code: *
Country / State: **
Telephone:
Fax:
E-mail: *
Registration type:
Participant / Accompanying person: *
Payment specification (bank transfer):
Billing Address (if different): *
V.A.T. Registration number (only for organizations): *
Code:	refresh image
Enter code: *
	* Obligatory fields!
	Send

Upon submitting the Registration form, you will receive the invoice indicating details on the registration fee payment.