REGISTRATION FORM

XV INTERNATIONAL SEMINAR ON PAEDIATRIC ORTHOPAEDICS

Barcelona, 5-6 de November de 2010

Name:
Surname:
Address:
Zip Code:
City:
Country:
Phone:
FAX:
E-mail:
Website:
Method of Payment	PayPal Bank Transfer Credit Card

IMPORTANT NOTES

• The above mentioned fees included attending to scientific sessions, coffee and course material

• The Course has the attendance limited to 100 people. Registration for the event will be admitted on a first come first served basis.

• Sorry, only cash will be accepted as payment for on-site registration.

• To attend to the Farewell Dinner, please, mark the corresponding box and add the indicated amount to the total.

• To register as Resident, certificate of training director or copy of student card is required.

• All registrations received befote October 15th, 2010 will be confirmed.

• If necesary, please, use copies of this form to register.

• When paying by bank transfer, a copy of it must be enclosed together with the Registration Form or, on the contrary, it will be returned.

• Sorry, only cash will be accepted as payment for on-site registration.

• All cancellations must be confirmed in writing to the Secretary.

• 60 € will be charged for cancellations received before October 15th, 2010. No refunds will be made alter that date.