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G LA S ILO Pismo ministru za zdravje Zdravstvena nega smo ljudje ...

G LA S ILO Pismo ministru za zdravje Zdravstvena nega smo ljudje ...

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odre`i in odpo{lji<br />

P R I J A V N I C A Z A S T R O K O V N A S R E ^ A N J A<br />

Zavod, podjetje, ~lan/ica<br />

___________________________________________________________________________<br />

Po{tna {tevilka in kraj<br />

___________________________________________________________________________<br />

Ulica in hi{na {tevilka<br />

___________________________________________________________________________<br />

Zave<strong>za</strong>nec <strong>za</strong> DDV DA NE (obkro`ite) - Dav~na {tevilka __________________________<br />

Telefon ________________________ e-kontakt: ___________________________________<br />

Prijavnica <strong>za</strong> strokovno sre~anje v kraju _________________________________ dne ______________<br />

z naslovom __________________________________________________________________<br />

Organi<strong>za</strong>tor __________________________________________________________________<br />

Prijava udele`enk/cev: S podpisom prijavljena/ni<br />

sogla{am, da se moje ime,<br />

priimek in delovna organi<strong>za</strong>cija<br />

posreduje sponzorjem.<br />

IME IN PRIIMEK DELOVNO MESTO [t. licence [t. ~lanske izkaznice<br />

___________________________________________________________________________<br />

___________________________________________________________________________<br />

___________________________________________________________________________<br />

___________________________________________________________________________<br />

Koti<strong>za</strong>cijo z DDV v vi{ini _______________ EUR je poravnana:<br />

� z nakazilom dne __________________ ali<br />

� Z gotovino na dan seminarja<br />

Koti<strong>za</strong>cijo bo poravnal<br />

� <strong>za</strong>vod _______________________________________________<br />

� drugo _______________________________________________<br />

Datum prijave ____________________ Podpis prijavitelja: ____________________<br />

PRIJAVNICO OBVEZNO POŠLJITE ORGANIZATORJU STROKOVNEGA SRE^ANJA!<br />

UTRIP 01/09 31

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