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International Salivary Gland Society
European Salivary Gland Society

Registration Form


European Academy of ORL

PERSONAL DETAILS

Please fill all the mandatory fields marqued with *.

Please register me to the:
17th International sialendoscopy Course – Advanced, Clinique Générale Beaulieu, Geneva, Switzerland, 26 - 27 March, 2012

ESTC Participant
ESTC Resident (with confirmation letter from Department)
New Participant
New Resident
Nurse
 

"Package discount" for registration of Beginners Course + Advanced Course
(CHF 300.-). In this case please register for "Advanced course as "ESTC Participant" or "ESTC Resident".

Package discount for registration at the international conference (after completion of course registration, a special link will be sent allowing discounted congress registration) >CLICK HERE


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After you click on "Register" button you will be directed to the on line payement (securised via Verisign).

ESTC Geneva - Switzerland