Basel Seminars in Pathology

Basel Seminars in Pathology
Postgraduate Course
Kidney and Urinary Tract
Basel, June 7-8, 2013
Registration Form
I wish to register for:
□ Friday seminar
□ Saturday seminar
□ Brunch on Saturday
□ Saturday workshop (limited number of participants)
..................................................................... .....................................................................
Last name
First name
..................................................................... .....................................................................
Institution
Department
..................................................................... .....................................................................
Address
City and country
..................................................................... .....................................................................
Phone number
E-mail
..................................................................... .....................................................................
Date
Signature
Please return by E-mail or fax to the attention of:
Dr. Helmut Hopfer
E-mail: Helmut.Hopfer@usb.ch
FAX: +41 (0) 61 265 3194
Registration fee: 100 CHF / 80 Euro
Payment should be made in cash at the registration desk
*Credit card/cheque payment cannot be accepted*
We look forward to seeing you in Basel
Pathologie
Schönbeinstrasse 40 | CH-4031 Basel | Switzerland