2nd International Headache Summit | November 11-15, 2010

This meeting is held within the framework of Continuing Medical Education.
THE NUMBER OF PARTICIPANTS IS LIMITED applications will be accepted according to date of registration
(1 registration per participant)

I want to register to the 2nd International Headache Summit / Tel Aviv / November 5-8, 2010

Title:
Last name*:		First name*:
Specialty*:		Institution:
Address 1*:
Address 2:
City*:	Zip*:		Country*:
Phone:		Fax:
E-mail*:

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REGISTRATION FEES

- Before 15/06/2010: 200 $ per delegate (150 €)

- After 15/06/2010: 300 $ per delegate (225 €)

- Israeli Doctors registration : 400 shekels

For further information, please contact

• Bulletin d'inscription au congrès
• Registration Fees

Laetitia Parienti - 01 72 33 91 01 - contact@headache-summit.com
REGIMEDIA - 326, Bureaux de la Colline - 92213 SAINT-CLOUD CEDEX - FRANCE