6th Young Psychiatrists Network Meeting Registration Form

Psychiatric Hospital Bohnice, Prague, Czech Republic, 28-30 September 2017

REGISTRATION FEE - SELECT PROPER OPTION(S):

Lower-middle income & low income countries *

Registration fee 85 EUR

High income & upper-middle income countries *

Registration fee 105 EUR

* According to the World Bank classification of the world's economies.


EUR:

I WILL ATTEND THE FOLLOWING SOCIAL EVENTS:


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TOTAL PAYMENT:


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Bank account No.: 176970780/0300 of the Conference Partners Prague Ltd.,
at the Československá obchodní banka, a. s., Anglická 20, 120 00 Prague 2, Czech Republic.
IBAN: CZ64 0300 0000 0001 7697 0780, BIC (SWIFT code): CEKOCZPP