INSCRIPTION PAR E-MAIL

Registration

Location:            TUNIS - DOUZ (south) - BIZERTE
Price:                  700 euros
Languages:         French / English

REGISTRATION

Information for payment by bank transfer or by draft :

STB Bank Agence Centrale (100)
Hedi Nouira Street
TN-1001 Tunis,Tunisia

Phone Bank: +216 71 34 07 77 - +216 71 34 01 62
Fax Bank: +216 71 35 04 97

IBAN Code
TN 59 1040 4100 1149 1657 8889

Payment: By Transfer Bank By Draft To Arrival (Cash)

Please make draft payable to:

Formation medico-militaire continue,
Direction Generale de la Sante Militaire

Registration: 700 Euros / Application deadline: October 15, 2008

Registration fees include access to the conference rooms, welcome cocktail, abstract book, a congress bag
and admission to Gala Dinner, course circuit, pick up from and to airport Tunis Carthage and all Accommodations fees.

The Registration Form can be returned in any following ways:
By Fax to: +216 71 56 01 21
By e-mail: dgsante_cmed@defense.tn

Or by ordinary post to this address:

4^th International Course of ICMM for Veterinarians and Para-Veterinarians
Direction Générale de la Santé Militaire,
TN-1005 El Omrane, Tunis, Tunisia

* Fields to be filled imperatively
**Veterinary Para-Veterinary**
M. Mrs Ms
Rank*
Title*
Function*
Last name *
First name *

Institution*
Address*
Phone*
Fax*
E-mail*

Arrival Date*
Departure Date *

*Payment: By Transfer Bank By Draft To Arrival (Cash)**