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Registration form symposium SGPath 2012

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					                                                              Swiss Society of Pathology

SGPath / SSPath                                               Société Suisse de Pathologie
                                                              Società Svizzera di Patologia
                                                              Schweizerische Gesellschaft für Pathologie

 Symposium and slide seminar of the Swiss Society of Pathology:

                    Update in Gastrointestinal Pathology

Date:                  28th April 2012
Venue:                 UniversitätsSpital Zurich, Schmelzbergstrasse 12,
                       Institut für klinische Pathologie, Grosser Hörsal

Registration is mandatory for all participants

Deadline date for early registration is:                   20th April 2012
You may down-load the form and fill it out on line in block letters. Send the form to the address
mentioned below at the end.

Registration fees: see page 2

 Name                                *
 First name                          *
 Address                             *




 Zip code                            *
 Town                                *
 Country                             *
 Member of SSPath / SGPath ?         *
 E-Mail                              *
 Phone Nr.

 Lunch: please tick what is appropriate                                      X
 I participate in the lunch *
          No special dietary request *
          Vegetarian *
 * mandatory information
Lunch is included in the registration fees.


Credits for CME:
Participation in the symposium with slide seminar:                     8 credit points
The virtual slides can be viewed on the website:
http://pathorama.ch/vcollections/
Submission of a list of diagnosis on line:                             3 credit points
Deadline for submission of a list of diagnosis is: 24.04.2012, 7:00 pm
The handout is available on the website of the slideseminar on 25.04.2012


 For further information: visit our website www.sgpath.ch                                           1
 Contact: Pierre-André Diener, p.a.diener@kssg.ch
                                                            Swiss Society of Pathology

SGPath / SSPath                                             Société Suisse de Pathologie
                                                            Società Svizzera di Patologia
                                                            Schweizerische Gesellschaft für Pathologie

 Symposium and slide seminar of the Swiss Society of Pathology:

                    Update in Gastrointestinal Pathology

Hotel accommodation:
You may organize your stay with hotel reservation using the website of Zürich tourism:
www.zuerich.com,
in German:           www.zuerich.com/de/hotels/
in French:           www.zuerich.com/fr/hotels/
in English:          www.zuerich.com/en/hotels/

Registration fees:
      Members of the Swiss Society of Pathology:
       The registration fee is included in the lump sum of the annual fee.

      For non members, the registration fees are as follows:
       Please tick the appropriate category

Deadline date for early registration is: 20th April 2012
 Non members:                               CHF               €                 x
 early registration
 Residents / trainees                      120.00          102.00
 pathologists                              200.00          170.00

 Late registration or on site
 Residents / trainees                      140.00          120.00
 pathologists                              240.00          205.00

The transfer of the registration fee has to be effectuated in advance to the
Swiss Society of Pathology.
Participants living in Europe (EU) may transfer the registration fee in €.
Payment on site is accepted only in CHF.

Transfer to:            Swiss Society of Pathology
Bank:                   UBS AG, Zurich
Account number          270-N6614842.0
IBAN                    CH10 0027 0270 N661 4842 0
BIC                     UBSWCHZH80A

Send the completed form to:

 Dr. Pierre-André Diener
 Institut für Pathologie
 Kantonsspital St.Gallen                    Tel:      0041 (0)71 494 21 05
 Rorschacherstrasse 95                      Fax:      0041 (0)71 494 28 94
 CH-9007 St.Gallen                          E-Mail:   p.a.diener@kssg.ch




 For further information: visit our website www.sgpath.ch                                         2
 Contact: Pierre-André Diener, p.a.diener@kssg.ch

				
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