REGISTRATION FORM

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REGISTRATION FORM

EASOM SUMMER SCHOOL 2019

TEACHING OCCUPATIONAL CANCERS: EXPOSURE PREVENTION AND RETURN TO WORK
Venue: Rīga Stradiņš University
Adress: Dzirciema street 16, Riga, Latvia, LV-1007
29th to 31th August 2019

APPLYING for Summer School by the 1st of August, 2019
PAYMENT for Summer School until the 20th of August, 2019

Dear colleagues!
Please fill out the registration form of participant. We will contact with you after recieving your registration form in some days. Thank you!
See you in Riga!

Name *

Surname *

Adress, post code and post *

Employer *

Employer's address *

E-mail *

Phone number *

Date of registration *

Excursion to Riga on the 29th of August *

Yes

Excursion to Jurmala and dinner at the restaurant on the 30th of August *

Yes

Accompany person in EASOM summer school *

Yes

Accompany person in excursions *

Yes

Data for the INVOICE: Name of the payer *

Data for the INVOICE: Address of the payer, post code and post *

Data for the INVOICE: VAT liable *

Yes

Data for the INVOICE: VAT number of the payer (if no VAT number, then please note "no VAT") *

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