Get the free Registration form - International Workshop on PET in Lymphoma

CALAIS DE L EUROPE MENTION FRENCH RIVIERA REGISTRATION FORM Please read pages 1 and 2 Please return this form as soon as possible and before June 30th or September 15th, 2012 for reduced fee together

COUNTRY. STATE. Zip & Country code(s) of residence for personal data. DIGITS 1 for contact details 2 for passport number(s) and 3 for personal data for passport and visa. E-mail address for contact list. E-mail address for communication of personal data. Mobile phone(s) (if available) where we're contacting you. (This will help with a possible charge later if we forgot your number or if you change it or forget to re-type it, so please include it in the list.) Any other comments will be considered, and we'll do our best to respond. If we can't respond in time, we'll make our best to get back to you as soon as possible, just so you have time to contact us again and get us to say sorry. Please write your comments clearly, including your contact information and any special requests. All your information is kept confidential and will be used solely to contact you during a trip or a program. We will never copy or share information with anybody without your prior written consent. If we are aware of a possible fraud, we will immediately alert the relevant authorities and follow up on all complaints. (This is a PDF form only and there is no postage fee) This is a PDF form only and there is no postage fee. (MISS IS E MAIL ADDRESS AND VISA NUMBER ONLY) TOURIST OFFICER Name of Travel Agency. M. MRS. MISS NAME SURNAME. COUNTRY. STATE. ZIP & COUNTRY code(s) of residence for personal data. DIGITS 1 for contact details 2 for passport number(s) and 3 for personal data For passport number, please do not type anything else. For passport, please do not type anything else. For personal data. E-mail address for contact list E-mail address for communication of personal data. I have a question about the Trip.

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