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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. Please choose option "OUR" as all fees relating to the transfer should be charged to the sender, at the request of the sender. Your registration will only be completed with the payment.
First name:
Your answer
Last name:
Your answer
E-mail:
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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:
tickets for your partner(s) who is not taking part in the professional program
0
1
2
Dinner party: 40 Euro
Guided bus tour: 20 Euro
Billing name:
In case if you dont want to provide us with an official billing information, please give us your name and address.
Your answer
Billing address
In case if you dont want to provide us with an official billing information, please give us your name and address.
Your answer
I would like to present a case in a supervision group
for IPSO members only
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