Registration form – Oral Potentially Malignant Disorders (OPMD): state of the art and a roadmap for research

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BILLING INFORMATION ONLY FOR ITALIAN PARTECIPANTS

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I REGISTER AS:(Required)

ONSITE PARTECIPANT 80€ Vat 22% included

ONLINE PARTECIPANT 50€ Vat 22% included

ONSITE RESIDENT 60€ Vat 22% included

ONLINE RESIDENT 35€ Vat 22% included

EARLY REGISTRATION until December 15th 2021

Total

Vat 22% included

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IBAN: IT36 O 02008 11200 000005235699 - SWIFT/BIC: UNCRITM1090 in the name of StudioProgress ensuring you include your name as the reference for the payment.

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