NAME
STREET
ZIP-CITY
COUNTRY
TEL
|
:..................................................................................
:..................................................................................
:..................................................................................
:..................................................................................
:..................................................................................
|
|
WORKSHOP / PAYMENT :
Dr. M. Mugrabi Lärchenstraße 8-10
30161 Hannover
Tel. :0511-36 37 10
Fax. :032-121073768
Email:
mugrabi@dr-mugrabi.de
dr_mugrabi@yahoo.com
- Bank :
-
Santander
-
Knt-Nr.: 25 819 15 600
-
BLZ : 500 333 00
|
Signature
|
:..................................................................................
|
|
If you are interested to participate in a
Course, please fill out the registration
Form and fax it to us
|
Speakers, Topics and Schedules can change
if necessary |
FIRST COME-FIRST SERVE
LIMITED NUMBER OF
PARTICIPANTS
To guarantee an optimal benefit for each
Participant, the number of participants
is limited
|