Microscopical Society Conference, August 21-23, 2013
Registration
Personal Details
Title:
First Name:
Family name:
Address:
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Phone:
Fax:
Email:
Organisation:
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Registration Fee
Fee
Price
Early Student Registration
€ 50.00
Early Registration Fee
€ 150.00
Early Corporate Registration
€ 175.00
Late Student Registration
€ 70.00
Late Registration Fee
€ 175.00
Late Corporate Registration
€ 200.00
 
Price
Qty
Conference Dinner
€ 0.00
 
Extra Comments / Requirements
Total
Total Amount:
 
 
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