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REGISTRATION FORM

Registration Type


   
Title   
Last Name  
First Name  
Date of Birth (dd/mm/yyyy)
Professional role  
Specialty  
Main workpalce type  
Istitution/Company name
Address Line  
City  
State (Only for USA, Canada, Mexico, Brazil, India, Australia)
Postcode
Country  
Mobile Phone  
Email Address  
   
Invoice Details  
Invoice Header  
Invoice Address Line   
Invoice Address City  
Invoice Address Postcode  
VAT or Fiscal Code Number  
Invoice Address Country  
 
All fields required
 
Total to Pay:  € 
 
SELECT PAYMENT METHOD
 
 
Your registration will be completed as soon as we receive payment of the registration fee. 
Please send us a copy of the payment made so that we can trace it and can confirm your paid registration.
After payment is received you will be sent a new confirmation. Should you have any further queries with regard to your booking please do not hesitate to contact us by email at info@wsp-congress.com
Terms and Conditions


  
     

     WSP2017 Facebook     June 20-23 2019 Berlin - Germany
 Congress Organiser:
 mail: info@wsp-congress.com