Conference “Medicine and Sport”

Participants Online Application Form

Name &Surname:	*
UIN number:
e-mail:	*
GSM:	*
Company phone/fax:
Invoice data:
Accommodation in Interhotel Sandanski
Accommodation:	single standard room
	single luxury room
	double standard room
	double luxury room
Check in date:	2013
Check out date:	2013
Type of payment:	bank transfer cash
Fields marked with * are obligatory.

Company-organizer – „Wasteels”
1202 Sofia, Bulgaria
102, Maria Louisa Blvd
phone/fax: +359 2 931-11-17
e-mail: office1@wasteels.bg

Bank account for money transfers in EUR:
WASTEELS-Bulgaria EOOD
Raiffeisen bank - 8 Branch
1766 Sofia, Mladost 4, Business park Sofia, Building 11A
IBAN BG26RZBB 91554437752805; BIC: RZBBBGSF