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On-line registration

Please register on our site before the 13th of October 2008. It will allowed you to get personal visitor code by e-mail for visiting PUBLIC HEALTH 2008. On-site at the Fast Track registration booth please show your badge and get the package of informative materials.

Last Name*:
First Name*:
Job Title*:
Company Name*:
PostCode*:
Country*:
Region:
Area:
City*:
Address*:
street, house, etc.
Phone*:
city code
Fax*:
city code
E-Mail*:
Web-site*:
What is your company type?*
Other (please specify)
What goods or services presented at Public Health 2007 are of your participant interest?*
Medica

Pharmaceuticals

Pharmtech

Laboratory

Emergency Medicine

Beauty and Health
Other (please specify)
How did you know about Public Health 2007?*
Other (please specify)
Enter symbols which you see on a picture on the left
* — indicates required fields

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