Under the patronage of:
ADVANCED COURSE
LAPAROSCOPIC NEONATAL SURGERY
9-10 May, 2019
Venue: Center of Biotechnologies – Cardarelli Hospital, Naples, Italy
MORE THAN 10 HOURS OF PRACTICE IN LIVE SURGERY ON RABBIT MODEL
DRY-LAB SESSIONS ON PELVIC TRAINERS AND THEORETICAL SESSIONS
PRE-REGISTRATION FORM
Please fill in and email to [email protected] or fax to +39-0817463361
For further informations, please contact:
Prof. Ciro Esposito
Pediatric Surgery, “Federico II” University of Naples, Italy
Tel: + 39 081 7463378; Fax: + 39 081 7463361
E-mail: [email protected]
First name:_______________________________________________
YOUR POSITION:
□ Specialist surgeon
□ Trainee
□ Other health professional
Surname: ________________________________________________
Department:______________________________________________
Institution:_______________________________________________
Address:_________________________________________________
City:____________________________________________________ □ ESPES/EUPSA/SIVI/SICP
member (deduct 10%) Country: _________________________________________________
Phone:___________________________________________________
Email:____________________________________________________
REGISTRATION FEES:
□ OPTION A - ADVANCED: includes participation in theoretical and live-surgery sessions
□ 1050/00 € Before February 24, 2019 □ 1300/00 € After February 24, 2019
□ OPTION B - BASIC: includes participation in theoretical sessions and pelvic trainer
□ 250/00 € Before February 24, 2019 □ 350/00 € After February 24, 2019
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