ESBRA



CONTACT:

Postal address:
ESBRA Central Office
Mag. Anita Riegler
Medical University of Vienna
Department of Psychiatry / 4A
Waehringer Guertel 18-20
1090 Vienna
Austria

Phone: +43-676-6430320
Fax: +43-1-40400-3560
e-mail: office[at]esbra.com






admin

ESBRA Nordmann Award & ISBRA - Satellite Meeting
Alcohol & Cancer
Heidelberg 17th - 18th September 2010




REGISTRATION

Heidelberg

Thank you very much for interest in participating in the ESBRA Nordmann Award & ISBRA - Satellite Meeting on September 17th and 18th 2010.

Location:

dkfz Heidelberg
Deutsches Krebsforschungszentrum
Im Neuenheimer Feld 280
69120 Heidelberg
Germany




Begin Symposium:
17th Sept. 2010 2 p.m.

Begin Affiliated Program (Sightseeing Heidelberg):
18th Sept. 2010 10 a.m.

Begin Social Diner:
17th Sept. 2010 8 p.m.

Begin Symposium:
18th Sept. 2010 9 a.m.

Please fill in the following form.
Items marked in bold are mandatory.

Address:

First Name:

Last Name:

Country:

ZIP/City:

Street:

Company/Institution:

E-Mail:

Society Affiliation:




Participation:



Participation of accompanying Person:




Total Amount: 0,- EUR

Please select how you want to pay: