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Home  Congress Program  Exhibition  Participation Types  Registration  For Participants  About Samara  Congress 2006	русский | english | deutsch Samara, Russia December 7-9, 2007

Registration Thank you for your registration!"; } else { print "Error: wrong code from image!"; } } ?> Registration order: 1. If you are interested in participation in the Congress or/and Expo, please choose one or more participation types and fill in appropriate registration forms. 2. After filling in the Congress Registration form as a speaker please forward your abstract to our congress e-mail congress@peunova.ru. 3. All submissions and abstracts will be reviewed by the Organizing Committee and after coordination some questions with you, we will send invoice to successful applicants. 4. After that the Organizing Committee will arrange all necessary for your successful and pleasant participation in the events of the Congress and the Expo. Congress and Expo Registration Form The 2nd International Congress on Complementary, Holistic and Naturopathic Medicine and Expo "Natural Health" Samara, Russia. December 7-9, 2007 Personal Details Title    Prof.   Dr.   Mr.   Mrs.    Ms.   Other (please specify): Family name First name and middle-name initials Female Male Position Organization Scope of organization, achievements Membership in any Association of Complementary Medicine Type of Participation Congress Exhibition Report topic Brief description of your products Amount of pavilions Extra equipment Workshop topic you would like to hold Contact Information Home/Organization Address (City, State, Country, Postal Code/Zip) Web-site Tel. Mobile Fax E-mail Preferred name on name badge Special requests Input code from image

The Congress Coordinator Russian Association of Complementary, Holistic and Naturopathic Medicine http://peunova.ru/

The Chairman of the Organizing Committee Svetlana Peunova

Contacts Elena Denisenko, Coordinator Tel.: +7846 2705211 Fax: +7846 2766117 E-mail: contact@peunova.ru