Titel:

Name:

*

First Name:

*

Company:

Street:

ZIP:

Place:

*

Country:

Email:

*

Phone

	Early bird (until July 12, 2009)	After July 12, 2009 or On-site
	Whole congress* day**	Whole congress* day**
Physicians	750 400	800 450
Physicians in training	500 300	550 340
Students	375 200	400 225

All prices stated in CHF!

*incl: all scientific sessions, coffee & lunch breaks, congress certificate, congress bag, cocktail reception, gala dinner
**incl: scientific program for 1 day, coffee & lunch break, congress bag, certificate

Participation

Welcome Reception, September 2, 2009, 18.30-20.00h, University Hospital Zurich (incl. in congress fees)

1 day:

Thursday, September 3, 2009

Friday, September 4, 2009

Saturday, September 5, 2009

or:

Whole congress

Status

Physician

Physicians in training

Student

Gala Dinner

Participation at the Gala Dinner, September 4, 2009 (incl. in congress fees)

Gala dinner for accompanying persons and 1 day participations, Early bird (CHF 100.-) On-site (CHF 120.-)

Total costs: CHF

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