Registration Form

Title:
First name:
Family name:
Street:
Postal code:
City:
Telephone:
e-mail:
Fee*:
Send question:

*Conference fee includes:
- admission to conference sessions
- materials
- entrance to coffee breaks
- lunches

Deadlines: prepaid advanced registration must be electronically submitted or mailed no later than June 20, 2008

Conference fee should be remitted to:
Polska Federacja Stowarzyszeń Chorych na Astmę i
Choroby Alergiczne i Przewlekłe Obturacyjne Choroby Płuc
ul. Płocka 26 ap. 402
01-138 Warsaw

If you should have problems registering, please contact the Conference office at tpcha@igichp.edu.pl

Account number:
PL 44 1500 1012 1210 1014 6622 0000
S.W.I.F.T CODE: KRDBPLPW

Hotel reservation:
www.orbis.pl/pl/warszawa/hotele/novotel_warszawa_airport

pdf version