THIRD KYIV SYMPOSIUM Smooth Muscle Physiology, Biophysics & Pharmacology (SMPBP 2017)
Registration
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Title *
Your answer
Affiliation: *
Your answer
Country *
Your answer
Category *
SMPBP-2017 presentation topic: *
Your answer
Preferred format of your presentation *
Preferred Symposium Section *
3rd Annual International School in Biomedical Sciences for undergraduate, MSc, PhD students, and young researchers (optional - please include your topic, type: lecture/seminar/tutorial etc.)
Your answer
Kyiv University mini-hotel accommodation (if "Yes" - number of nights with dates) *
Your answer
Kyiv sightseeing tour on Monday 18 September 2017 (indicate your preferable time) *
Your answer
Would you like to visit the research labs at the Institute of Pharmacology and Toxicology? *
Would you like to visit the National Opera on 20 Sept 2017? *
Are you going to participate in the second part of the Symposium in Lutsk? *
If yes, are you going to participate in the Conference Dinner in Lutsk on Thursday 21 Sept 2017? *
Are you going to stay at "Gart"? If so, please indicate the number of days (max 3) *
Your answer
Do you have any special dietary requirements, of which we should be aware?
Your answer
Your arrival information (date & time of arrival, airport, flight number etc.) *
Your answer
Will you require transportation to Warsaw from Lutsk or Gart? If so, please indicate your preferable departure time. *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms