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Registration for Course Cycle 2013-2015
Gender: *
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Title: *
First name: *
Last name: *
Degree: *
Date of birth: *
Nationality: *
University of graduation, field of studies: *
Present position / function: *
Since when: *
Field of main interest: *
Email: *
Business address:*
Company: *
Address: *
Address2:
Zip: *
City: *
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Phone: *
Fax: *
Private address: *
Address: *
Address2:
Zip: *
City: *
Country: *
Phone: *
Fax: *
Address for correspondence and invoice: *
Private address
Business address
Hotel reservation requested: *
Yes
No
Hotel:
Hotel Radisson SAS***** CHF 239.20 /night, + CHF 31.- breakfast
Hotel Basel**** CHF 247.20 /night, + CHF 24.- breakfast
Hotel Merian*** CHF 223.- /night, incl. breakfast
Hotel Bildungszentrum21*** CHF 158.20 /night, incl. breakfast
Prices are subject to change.
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