Registration for the paper version of the Folia Pharmaceutica 2022-2023

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

At the January AV 2017 it was decided that the Folia Pharmaceutica will be available in a limited edition on paper. To receive the Folia on paper you need to register. This registration is valid until the 31st of August 2023, after that there will be the possibility to register again. You will also continue to receive the Folia digitally.

Attention:
- The registrations start again, if you registered last year you have to register again to receive the Folia Pharmaceutica on paper.
- Registration does not guarantee a paper Folia Pharmaceutica. The rule of 'first come, first served' is used.
- You will receive a confirmation email if your registration is valid.

Email *

First Name *

Surname *

I would like to recieve the paper version of the Folia in *

English

Dutch

Address *

Zip-code *

City *

Department *

G.F.S.V. "Pharmaciae Sacrum"

L.P.S.V. „Aesculapius"

U.P.S.V. "Unitas Pharmaceuticorum"

VCSVU

Permission *

I agree that the K.N.P.S.V. board has access to my data and that name and address will be passed on to the KNMP for sending the Folia Pharmaceutica (http://knpsv.nl/wp-content/uploads/2018/05/Privacy-statement.pdf)

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms