Register form to 5th International Congress of AEPROMO 6º International Congress of IMEOF

Please fill all fields in the form and click submit. After sending you will be redirected to the payment page. There you can choose to pay all combinations of current and / or congress or pay only the reserve quota. If you wish to pay later, just close the page or navigate where you want.

 

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    Full Name (Write down your name as it should appear on the certificate. The attendance certificate is issued only once: required)

    Address (required)

    City (required)

    Province, Department (required)

    Zip code (required)

    Country (required)

    Telephone(s) (required)

    Mobile (required)

    E-mail (required)

    Profession (required)

    Specialty

    I will attend the International Meeting (English & Spanish)I will attend the Medicine course (only Spanish)I will attend the veterinary course (only Spanish)I am a member of AEPROMO

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    This content is also available in: Spanish

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