REGISTRATION FORM

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					                                  REGISTRATION FORM

Please fill in the form and email it along with the proof of payment to:

Attn: Assoc. Prof. Dr. Alparslan YILDIRIM (Secretariat of the VBDS’12)
Vectors and Vector-Borne Diseases Implementation and Research Center, Erciyes
University, 38039 Kayseri/TURKEY

E-mail: ervec@erciyes.edu.tr
Tel: +90 352 339 23 12
     +90 352 207 66 66 / 13575
Fax: +90 352 339 23 12


First name:………….………Last name:…………..…….Title:…..……….……….
Institution:…………………………………………………………………………….
Address:………………………………………………….………………..…………..
………………………………………………………………………………………….
City:……………………… Zip code:……..…. Country:………….………………..
Phone number:……………………………Facsimile number:……………………...
E-mail address:…….……………………@………………………………………….


                   Registration Fee ( )
Participant                                100
Student                                     60



        Total amount: …………
For:.….Participant (s) /….. Student (s)

Payment must be made through bank transfer to:

Bank: Isbankasi
Branch Code/Şube kodu: 5308
Account Holder/Hesap Sahibi: 1. Ulusal Vektörler Sempozyumu
Account No/Hesap No: 0175099
IBAN: TR41 0006 4000 0015 3080 1750 99



         Anybody who wants an invitation letter for governmental and institutional
approvals please contact ervec@erciyes.edu.tr

				
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posted:9/14/2012
language:English
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