REGISTRATION

THE FIRST CONFERENCE ON
ASTHMA AND ALLERGIES

Zagreb fair, 05. - 07. 03. 1999.

First name
________________________________________________________
Last name
________________________________________________________
Profession ______________________________________________________________
Institute/ Company _____________________________________________________
Adress ______________________________________________________________
Phone number _____________________________________________________________
Faks
_____________________________________________________________
E-mail ______________________________________________________________


I WILL ATTEND THE CONFERENCE:


I WANT TO SUBMITT A PAPER FOR:
A LECTURE:

  • Transparencies
  • Slides
  • Power point

INTERNET - Web site
A POSTER 90x120 cm
A WORKSHOP

WE WANT TO PRESENT:
MEDICAL CLINIC / MEDICAL PRACTISE
A COMPANY
PRODUCTS
SERVICES
OTHER

Please, send me/us detailed program!
Please, send me your next information packet!