Online registration form
  1. (please complete all fields - all fields are required)
  2. Title
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  3. First name
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  4. Family name
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  5. I accept that professional Congress organizer sends me other non-promotional announcements and information related to healthcare
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  6. Post address
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  7. City&Postal code
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  8. Country
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  9. Mobile phone number
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  10. Employed at
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  11. On a position of
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  12. Employer category
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  13. Registration fee (without VAT)
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  14. Registration fee (without VAT)
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  15. Registration fee (without VAT)
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  16. Registration fee (without VAT)
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  17. Arrival date
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    This information is needed to ensure appropriate services during the congress
  18. Departure date
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    This information is needed to ensure appropriate services during the congress
  19. Full name of the 2nd person in the room
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  20. Special requirements / message to congress organizers
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  21. Should you need hotel accommodation during the congress period, please be informed that the Congress Organizer has agreed some special room rates with the following 4* hotels:
    - Amadria Park Hotel Royal: 9th CONGRESS OF PHARMACOECONOMICS
    - Amadria Park Grand Hotel 4 Opatijska Cvijeta: 9th CONGRESS OF PHARMACOECONOMICS
    - Amadria Park Hotel Agava: 9th CONGRESS OF PHARMACOECONOMICS

    Please note that these rates could be achieved only if you are registering using the below links and/or with the following registration code: FARMAEK19

  22. Safety code
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