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Registration form - 1st Congress of Family Medicine in Bosnia and Herzegovina
Registration form - 1st Congress of Family Medicine in Bosnia and Herzegovina
PromoTours
2017-12-26T13:42:10+02:00
Informacije o učesniku / Delegate information
Ime i prezime / Name and surname:
*
Ustanova / Organisation:
*
Adresa / Address:
*
Grad / City:
*
Država / Country:
*
Telefon / Telephone:
*
E-mail:
*
Član udruženja / Assocciation member
Da/Yes
Ne/No
Informacije o plaćanju / Billing information
Plaćanje kotizacije / Registration payment:
*
Od strane kompanije /By company
Lično / Personal
Plaćanje smještaja / Accommodation payment:
*
Od strane kompanije /By company
Lično / Personal
Naziv kompanije / Company name:
Adresa kompanije / Company address:
Grad / City:
Država / Country:
Telefon / Telephone:
Email kompanije / Company Email
ONSITE REGISTRATION
Hotelski smještaj / Hotel accommodation
Hotel booking
*
Da Hotel Hills / Yes Hotel Hills
Da Hotel Hollywood/ Yes Hotel hollywood
Ne / No
Tip sobe / Room type:
Standard jednokrevetna / Standard single
Standard dvokrevetna / Standard double room
Superior jednokrevetna / Superior single
Superior dvokrevetna / Superior double
Sobu dijelim sa / Room sharing with:
Datum dolaska / Arrival date:
Datum odlaska / Departure date:
Dodatne informacije / Additional information:
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