IUGA EXCHANGE MEETING - 2019


First Name & Last Name
TC No /
Passport No.
Title
e-mail *

Address *
Institution
Mobile Phone

Business Phone
Invoice No. Address (if different than the address you have already indicated)
* Required fields
Registration
Registration Fees (VAT included)
REGISTRATION FEES WITHOUT ACCOMMODATION
Nurse / Physiotherapist / Resident
118 EURO
Physician
177 EURO

Choose how to PAY

PAYMENT VIA BANK TRANSFER
  BANK IBAN NO
EURO

Account Name:MOTTO ORGANİZASYON YAZILIM LTD. ŞTİ.
Bank :GARANTİ BANKASI -KEMERALTI  ŞUBESİ
Swift code:TGBATRISXXX
Branch: GARANTİ BANKASI -KEMERALTI  ŞUBESİ
Account no: 730 - 9070010

TR73 0006 2000 7300 0009 070010
VIA CREDIT CARD

Name on Card :
Card Number : - - -
Card Type :
Expiration Date :  
CVC2 Code :
PARTICIPANT AGREEMENT
I read all details about my registration and I accept it.

   

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