Registration

Hereby I register for the "Workshop Endo- urology" on december 1st - 2nd 2016 in Pforzheim, Germany.

The fee € 195.00 (physicians) and € 150.00 (health care professionals) will be paid by bank transfer.

account holder: Siloah St. Trudpert Klinikum
bank: Sparkasse Pforzheim
IBAN: DE83666500850000817481
SWIFT-BIC: PZHSDE66

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