REGISTRATION
Personal Information
Mr
Ms
Dr
Pr
name
first name
organisation
job description
street address
town
postal code
country
telephone
fax
gsm
email
Tarifs
registrations
symposium 28 & 29 September 2009
registration
adult
180 €
student
80 €
group(>10 pers, prix/pers)
140 €
members and employees of organisations dedicated to social work and / or health care
90 €
IMS member
You will receive a bill for your payment.
copyright 2008 - ATP asbl - 91, rue de l’Eglise L-7224 Walferdange -Tél : 26 33 16 84 31 / Fax : 26 33 16 83 - made by STUDIOJUL
ATP asbl RubrATW - IBAN LU18 0022 1450 5771 4700 - BILLLULL
