ANS Symposium Aachen 2012

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Registration Fee - Category

1. Regular fee 30,- Euro

2. Member of German Autonomic Society 15,- Euro

3. Students may attend free of charge

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Please submit your payment until 10/04/2012 to

Commerzbank Essen

Lindenallee 17-23

45127 Essen

IBAN-code: DE59 3608 0080 0406 5074 00

BIC/SWIFT: DRESDEFF360

Bank Account: 406525605

Made payable to: Alfried Krupp Krankenhaus

Please mention: Your name, and the words ‘ANS-symposium‘

I would like to confirm my registration for the ANS-symposium 2012 in Aachen.

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