Conference for the presentation of the Report on the Status of Health in the European Union.

Istituto Superiore di Sanità - Rome, 20 March 2009

REGISTRATION FORM

Please return this form before 17 March 2009 to SEADAM Servizi, to the attention of Raffaela Parente e-mail: r.parente@sanit.org

IMPORTANT NOTICE: with filling and sending this form the data subject authorizes the treatment of the communicated data for the purposes of the organization of the conference.

 

Personal details of the participant

First name

Mr.    Mrs.

Family name

 

Organisation

 

Country

 

Phone number inclusive of Country code

+

Fax number inclusive of Country code

+

e-mail

 

 

download:Registration form