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Registration for the event

To register for the event please complete the form.

Please fill in the fields

Your name *:

Date of birth *:

E-mail *:

Phone number *:

City *:

Medical institution (please indicate the full name of the place) *:

Position *:

Specialization *:

Specialization *:

Course name *:

Date according to the calendar of events *:



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Thanks!

Your application has been accepted. You will be contacted by the manager in the next working hours from 9:00 to 18:00