SGDV - 2nd SSDV – Board Exam Preparation Course - Registration

2^nd SSDV – Board Exam Preparation Course

May 25 - 26, 2019

Hotel Radisson Blu, Luzern

Participation fee

CHF 300.-

Title

Gender

M

F

First Name:*

Last Name:*

Institution

Personal address

Country:*

City:*

Postcode

Email:*

Retype email:*

Mobile

Social events

Payment:

Congress fee:

CHF 300.-

Total:

CHF 300.-

Payment type: Bank transfer

Description: FO112017 SGDV-Kurs 2020
UBS Switzerland AG
Postfach, 4002 Basel
SWIFT: UBSWCHZH40A
IBAN CH83 0023 3233 6226 1403 E
Beneficiary: Universitätsspital Basel