Bulgarian Society of Biomedical Physics and Engineering

Ninth National Conference on Biomedical Physics and Engineering with
International Participation
14 – 16 October 2004, Sofia, Bulgaria

Bulgarian Society of Biomedical Physics and Engineering


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Final Registration Form

 

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FINAL REGISTRATION FORM

(This should be returned attached to the paper)


Participant’s name:………..........................................................................................

Position/Title:.............................................................................................................
Affiliation:...................................................................................................................
Address for correspondence:..................................................................................…
...................................................................................................................................

E-mail:.............................................. Fax:................................................

Accompanied by (name, if any):…………………………………………………….

Arrival Date.................. Departure Date......................

Hotel:............................ Single/Double room (underline your choice)


I wish a certificate:
Yes
No


Date:............................. Signature:……………………..