23rd Prague Workshop on Catheter Ablation

Institute of Molecular Genetics of the ASCR, Vídeňská 1083, 142 20 Praha 4 /
19.04.2020 – 21.04.2020

Registration form

* Registration:
* Type of registration:

Accommodation order

* Hotel:
* Room type:
Name of roommate:
Special requierement:
* Second choice:

Payment of registration fee and accommodation is required before arrival date by one of these ways:

account No. 1066072036/2700
UniCredit Bank
IBAN: CZ1927000000001066072036

(Please send us the copy of bank transmission order or bank statement)

* Registration fee paid by:
* Accommodation paid by: