CP Consulting - Switzerland

SWISS PAIN CONGRESS 2013
NOV. 15-16, 2013
MONTREUX, SWITZERLAND

CONGRESS REGISTRATION

Title

First Name

Family Name

Address

Postal code

City

E-Mail

CONGRESS PARTICIPATION:

Type

Workshop Participation
(CHF 50.- per workshop)

How many workshops?

Dinner (Social Event) Participation
(CHF 110.- per person)

How many persons?

Hotel Accommodations

Reservations at Hotel Suisse Majestic must be done directly, by using this convenient form: [PDF FORM]

Please note:

All information fields must be filled out.

Registration fee* must be paid to:
(Confirmation will be sent after payment has been processed.)

UBS ZUERICH AG - CH-8098 ZUERICH
IBAN: CH89 0024 9249 7833 6445 M
SWIFT/BIC: UBSWCHZH80A
CLEARING: 0249
MME KATHARINA PERRIN
PAIN
AVENUE DES PLANCHES 15
CH-1820 MONTREUX

DEADLINE: Nov. 10, 2013

After this deadline, registration has to be done on location (higher fee).

SWISS PAIN CONGRESS 2013NOV. 15-16, 2013MONTREUX, SWITZERLAND