MEDNET 96 - Delegate Registration Form

EUROPEAN CONGRESS OF THE INTERNET IN MEDICINE

Delegate Registration Form

Please download the text version of the Congress Delegate Registration Form and return it to the MEDNET 96 Secretariat at the following address:

Please ensure you have completed the following in BLOCK CAPITALS:

Enclose a cheque made payable to "MEDNET96/University of Sussex"

UK: Pay by cheque in pounds sterling
Overseas: Pay in pounds sterling by bank draft, drawn on a UK, London-based bank or by Eurocheque(s) (Payment to a maximum of 100 pounds on any one Eurocheque)
NO LOCAL CURRENCY PLEASE

Back to MEDNET 96 Home Page.