Registration – Pobedimo limfom

REGISTRATION

Name and Surname

Tel

Organization

Address of the organisation

Your role in the organisation

Organisation's email address

Website

CIty

Country

Participation in the event:

Live presence Online

Arrival date

Departure date

Room type:

Single Double if accommodation is not required

Will you attend the dinner on Friday night?

Yes NO

Will you attend the dinner on Saturday night?

Yes No

Dietary requirements and allergies

Do you need arranged transportation?

Udruženje LIPA

Udruženje obolelih od limfoma – LIPA