Chris-Test-Form-28-Jan-2020


 

 

 

REGISTRATION FORM

MrMrsMs







2 day Regstration €1501 day Registration €100Gala Dinner p.p €50Spouse/Guest Registration €50Medical Student/Nursing Staff Free



CashChequeCredit/Debit CardBank Transfer

Bank Account Details:
Bank of Cyprus
Account: 357022581800
Account Name: Pantheo Foundation
IBAN: CY88002001950000357022581800
Bank Swift No. BCYPCY2N


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Clicking SEND, I agree with the use and holding of my personal data collected for this event.