EPF Youth Meeting, 19-21 August 2011

 PERSONAL DETAILS
  
Surname *
  
First Name(s) *
  
Job Title
  
Name of the Sending Organisation (in English) *
  
Postal address *
  
Office phone number
  
Home Phone Number
  
Mobile phone number *
  
Email *
  
Please state any special requirements
  
Other Special Requirements
 TRAVEL
 Participants are invited to make their own travel arrangements in line with EPF policy.
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 Transfers from/to airport will not be organised. Further information on travel options from the airport will be sent with final papers.
  
 ATTENDANCE
  
I will participate in Conference on Rights and Needs for older patients.
  
I will participate at the conference dinner on 12 July *


  
 I will participate at the parallel session on 13 July at 9:00. Please make your choice.
1st choice *
2nd choice *
  
 Parallel session will be rerun at 11:15. Please make your choice.
1st choice *
2nd choice *
  
 Should you encounter any problems, please contact event organisers at events2010@eu-patient.eu
 Confirmation of your registration will be sent to you by the 15th of June 2011.