IX SPANISH CONGRESS OF ANDROLOGY

OVIEDO, 10th - 12th March 1999

Inscription Form

PERSONAL DATA:  

NAME:

PRIVATE ADDRESS:

CITY:

P.O. BOX:

PROVINCE/STATE:

COUNTRY:

PHONE NUMBER:

FAX NUMBER:

E-MAIL:

WORK CENTER:

ACOMPANYING PERSON:  

NAME:

 

INSCRIPTIONS:    
     
FEES:

BEFORE 31 Dec. 98

AFTER 31 Dec. 98
 

   

 

ASESA MEMBERS 60.000 Ptas. 65.000 Ptas.
NON-ASESA MEMBERS 65.000 Ptas. 70.000 Ptas.
RESIDENT (including certificate) 35.000 Ptas. 40.000 Ptas.
ACOMPANYING PERS - 40.000 Ptas. 45.000 Ptas.
 

 

 

 

      

FEE AMOUNT:              

 

HOTEL ACCOMMODATION:    
     
HOTELS    
Prices per room and night. It includes breakfast/s and taxes.    
     
HOTELS

DOUBLE

SINGLE
     
RECONQUISTA***** 23.000 Ptas 18.500 Ptas.
REGENTE**** 16.000 Ptas. 13.000 Ptas.
PRINCIPADO*** 14.500 Ptas. 13.200 Ptas.
CLARIN*** 13.000 Ptas. 11.500 Ptas.
 

   

 

Check In Date: 

March 1999

 

Check Out Date: 

March 1999

 

Nights at hotel: 

 

Total Price: 

 

 

REMARKS:                                        

 

TOTAL AMOUNT:

 

PAYMENT PROCEDURE:

You can pay Total Amount throught:

  1. Check made out to CONGRESO NACIONAL DE ANDROLOGIA

    2. Please send the check ans also the inscription form to the Congress Secretariat: Santa Susana, 31 - 1º. 33.007 OVIEDO. Spain. Tel: (34) 985 27 26 07.   Fax: (34) 985 34 70 70

  2. Credit transfer to Caja Asturias C/C 2048-0121-50-0340020572

 

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Last review: 6th December 1998