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Registration form
Payment information:
Please pay the total registration fee and the bank transaction fees (if applicable) until the registration deadline: 1st June/31st March as an early bird. Your registration will only be completed with the payment.
Email address
First name:
Your answer
Last name:
Your answer
E-mail:
Your answer
Phone number:
00 - country number - your number
Your answer
Address:
Your answer
Country:
Your answer
Your Psychoanalytic Society:
Your answer
Membership:
Required
Payment:
Non-conference guests:
0
1
2
Dinner party: 40 Euro
Guided bus tour: 20 Euro
Billing name:
Your answer
Billing address
Your answer
I would like to present a case in a supervision group
for IPSO members only
A copy of your responses will be emailed to the address you provided.
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