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Boletín de Inscripción

Boletín de Inscripción Secretaría. BOLETÍN DE INSCRIPCIÓN. Inscripción…………………………………………………….200, 00 €

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Boletín de Inscripción

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  1. Boletín de Inscripción Secretaría BOLETÍN DE INSCRIPCIÓN Inscripción…………………………………………………….200, 00 € (Incluye Manual del Curso. Alojamiento , cafés y almuerzos de trabajo en sede) Nombre y Apellidos…………………………………………………………………..……………………………..…………… Hospital de procedencia………………………………………………………………………………………………………… Medicina MIR año………………………… Enfermería Servicio………………………… Dirección…………………………………………………………………………………………………………………………….…. CP……………………Localidad……………………………………………………………………………………………………… Teléfono…………………………..e-mail…………………………………………………………………………………………… Alojamiento ICS * SI entrada …………/11/2012; salida…………/11/2012 *Instituto Ciencias de la Salud FORMA DE PAGO Enviar este boletín cumplimentado, junto al resguardo de transferencia a Secretaría Cuenta de ingreso, 0128 0092 68 0100030897, Bankinter • SECRETARÍA TÉCNICA • SimposiaCongresos • Ana O’Kelly cursoipr@simposia-congresos.com • Cervantes 11, 16004 Cuenca Tel./fax 969 235 900 móvil 670 505 543

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