Masterclass in Thyroidology - Registration
2 November 2019
Holiday-Inn Hotel, Conference hall
Tbilisi, Georgia
To attend the masterclass, please register!
Name and Family name *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Passport number *
Your answer
Specialty *
Your answer
Place of work *
Your answer
eMail *
Your answer
Phone number *
Your answer
Please, write in a few sentences, why you would like to attend the masterclass? *
Your answer
How did you hear about the masterclass? *
Your answer
Registration fee – €20
The number of available places is limited, a “first come, first served” selection process will be followed.
To finalise your registration, please transfer the registration fee to the association’s account.
Name of beneficiary: Georgian Association of Endocrinology and Metabolism
IBAN: GE83BG0000000101367226
Bank name: „Bank of Georgia“
Bank code: BAGAGE22

Please, indicate your name and family name in the subject.
You will receive a confirmation email in 5-7 days after finalising the registration.
Thank you for your interest!
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