First name:

Last name:

Email adresa:

Institution:

ProfesionaltTitle:

Are you a member of the association? Are you a member of the association? YES NO

Select package: Select package:Specialists: 350 BAM (VAT included)Association Members: 250 BAM (VAT included)Residents (in specialization): 250 BAM (VAT included)Nurses: 200 BAM (VAT included)

Do you need accommodation? Do you need accommodation?Single Room: 179 BAM (including tourist tax)Double Room: 198.57 BAM (including tourist tax)No

(Please specify the full name of the accompanying person)