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BASLER FORTBILDUNGSTAGE 2010 - NOVEMBER 26-27

Name First Name Address Postal Code City Country Phone Fax Email Remarks Conference Fee for Physicians 300.- CHF / 205.- € Conference Fee for medical personnel 150.- CHF / 100.- € Lunch (Friday only with reservation) Friday 27.- CHF / 18.- € Saturday included, no reservation required Dinner: (Limited seats - Menu choice required) Friday, 27th Oct 2009 95.- CHF / 65.- € Meat Fish Companion Meat Fish Total CHF / EURO

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