CIRCLE INSTITUTE medical education Cardiac MRI Training Course Registration

		medical education

	Course Registration
Here you can register for our courses. Either you register online, or you print out this page and send it by fax or mail to our address shown below. Please read our General Terms and Conditions first. If you have any questions, send us an e-mail: info@circle-institute.com



I want to register for following course/s:
Basic course (german)	26./27.02.2010	EUR 980,-
Basic course (german)	29./30.10.2010	EUR 980,-

Advanced Course (german)	19/20.03.2010	EUR 980,-
Advanced Course (german)	19./20.11.2010	EUR 980,-

Special Course Coronary Heart Desease (german)	11.12.2010	EUR 650,-

We offer reduced fees for package bookings:
Basic + Advanced:		EUR 1.850,-
Basic + Advanced + Special CHD (or KHK):		EUR 2.450,-

	excl. VAT	EUR
	incl. 16% VAT	EUR

Last Name*:
First Name*:
e-mail*:
Institution:
Street:
City:
Postal Code:
Country:

The course fee includes: Course, syllabus and dinner. You will receive a confirmation and, if necessary, additional information via e-mail. After receiving the invoice please transfer the fee to our account.

* required fields
I accept the GTC

circle institute GmbH
Lindenbergerweg 80
13125 Berlin

Phone: +49 (0)30 450 540 443
Fax: +49 (0)30 450 540 943