Registration for the Santo-Rhino 2016 Workshop

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Fields marked with an * are required

Affiliation (Hospital):



Santorhino Course



Please pay the outstanding invoice, to the account
Bank Name :   ABN - AMRO
Account No :  450678849
IBAN No :       IBAN NL92ABNA0450678849
SWIFT             ABNANL2A
quoting your name and Santorhino 2016.

Please keep in mind that registration is not confirmed until the registration fee has been paid in full.

Please, in case of  problems with registration and /or payment, email ms
Despoina Nikolopoulou  at    dnikolopoulou@synthesispco.com