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Registration Bulletin - Health Sciences Course

Complete the registration form to join our Health Sciences course. Fee includes course manual, accommodations, and meals. Fill in your details and send with payment to secure your spot. Contact us for any inquiries.

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Registration Bulletin - Health Sciences Course

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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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