Congress Registration Form

Invoice Details

For Individuals;

Name Surname *

Phone Number *

E-Mail *

Adress *

District *

City *

For Institutions;

Company / Institution Name

Adress

District

City

Congress and Payment Details;

Which Congress Will You Attend? *

Participant Qualification *

Add Receipt (If You Made a Payment to the Bank)

* marked fields cannot be left blank!

Transfer / EFT Our Bank Information;

Sağlık ve İklim Değişikliği Derneği
-USD TR93 0006 7010 0000 0025 0178 28 Swift: YAPITRIS
-EUR TR34 0006 7010 0000 0025 0181 14 Swift: YAPITRIS