via Giuseppe Vigoni, 11 - 20122 Milano
+39 02 54122513/79
info@keepinternational.net
HOME
COMPANY
NEWS
EVENTS
CONGRESS
WEBINAR
VIDEOS
ASSOCIATIONS
GALLERY
CONTACTS
Home
»
Congress
»
Corso S.L.O.T.O. INCONTRO ORTOPLASTICA Come avvicinarsi all’ortoplastica (arto inferiore)
»
Registration
Corso S.L.O.T.O. INCONTRO ORTOPLASTICA Come avvicinarsi all’ortoplastica (arto inferiore)
Corso S.L.O.T.O. INCONTRO ORTOPLASTICA Come avvicinarsi all’ortoplastica (arto inferiore)
1.
Personal Data
Last Name*
First Name*
Date of Birth
Place of Birth
Address*
N.*
City*
Postal Code*
Province*
Telephone Number
Mobile Number*
E-mail*
Institute/Hospital
Occupation
Discipline
2.
Type of registration
3.
Additional Services
4.
Hotel Accommodation
Continue