Registration form - 1st Croatian Conference on Sports Related Brain Injuries, June 15-17, 2017

Name *
Surname *
Email *
Phone *
Affiliation *
City *
Country *
Unesite broj 1148 *

Kotizacija/Registration fee

Medicinski fakultet u Splitu

Šoltanska 2

21000 Split, Croatia

IBAN: HR8523300031100071293

SWIFT (za uplate iz inozemstva/Payments from abroad): SOGEHR22 

Poziv na broj/Reference number: 02 768

Opis plaćanja: Kotizacija za 1st Croatian Conference on Sports Related Brain Injuries with International Participation (polaznici upisuju IME i PREZIME) / Payment description: Registration fee 1st Croatian Conference on Sports Related Brain Injuries with International Participation (write attendee's NAME and SURNAME).

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