1st SERBIAN INTERNATIONAL SPORTS MEDICINE CONFERENCE

21 – 23 May 2015.

SAVA CENTER Belgrade, Serbia

REGISTRACIONI FORMULAR / REGISTRATION FORM

Prezime/Surname:

Ime/Name:

Titula/Title:

Ustanova/Institution:

Adresa/ Address:

Telefon / Mobilni:

Faks/Fax:

E - mail:

Popunjen formular poslati na e-mail ili na fax broj: 011.3555.288

Registration form please send to e-mail or fax number: +381.11.3555.288

Registracija na sajtu/registration on site: www.sportsmedicineserbia-conference.rs

KOTIZACIJA/ FEE:

Do 15. Marta 2015/ till 15 March 2015

Domaći učesnici/ Low income countries 60 €

Ostali/ High income countries 110 €

15. marta 2015 – 30. aprila 2015 / 15 March – 30 April 2015

Domaći učesnici/ Low income countries 70 €

Ostali/ High income countries 120 €

1. maja 2015 – 21.maja 2015 / 1 May – 21 May 2015

Domaći učesnici/ Low income countries 75 €

Ostali/ High income countries 125 €

VEČERA/ DINNER: Price 25 €

Da/Yes
Ne/ No

Da li želite da prisustvujete gala večeri?/ Would you like to attend gala dinner?

REGISTRACIJA za kliničke radionice/ Registration for the Clinical workshops (one or more).

NAPOMENA: Broj mesta na radionicama je ograničen na 20 mesta. Radionice će se održavati paralelno sa glavnom sesijom. Molimo obeležite kojim radionicama želite da prisustvujete.

The athlete’s groin
ECG interpretation in athletes
Rehabilitation for shoulder injuries
Rehabilitation for knee injuries
Examination of the foot and ankle
Examination of the knee



METODE PLACANJA / METHODS OF PAYMENT

Payment of registration fees can be made in EUR, USD and RSD by one of the following methods:

1. / By Bank Transfer
2. / On the spot - By Credit Cards (VISA, MASTER, DINA) - By Cash

1. Za uplate u dinarima/ payment in dinars - By Bank Transfer

Banka:UPRAVA ZA TREZOR

Tekući račun:840-718668-46

Primalac: ZAVOD ZA SPORT I MEDICINU SPORTA RS, Kneza Višeslava 72, 11030 Belgrade, Serbia

2. USD payments are accepted ONLY bybank transfer tofollowing data

FIELD 56A:
(INTERMEDIARY) / BKTRUS33XXX
DEUTSCHE BANK TRUST COMPANY AMERICAS, NEW YORK 60 WALL STREET, UNITED STATES
FIELD 57A:
(ACC. WITH BANK) / NBSRRSBGXXX
NARODNA BANKA SRBIJE
(NATIONAL BANK OF SERBIA – NBS)
BEOGRAD, NEMANJINA 17, SERBIA
FIELD 59:
(BENEFICIARY) / /RS35908500100012917392
ZAVOD ZA SPORT I MEDICINU SPORTA RS, KNEZAVIŠESLAVA 72, BEOGRAD

3. EUR payments are accepted ONLY bybank transfer tofollowing data.

FIELD 56A:
(INTERMEDIARY) / DEUTDEFFXXX
DEUTSCHE BANK AG, F/M
TAUNUSANLAGE 12
GERMANY
FIELD 57A:
(ACC. WITH BANK) / /DE20500700100935930800
NBSRRSBGXXX
NARODNA BANKA SRBIJE
(NATIONAL BANK OF SERBIA – NBS)
BEOGRAD, NEMANJINA 17, SERBIA
FIELD 59:
(BENEFICIARY) / /RS35908500100012917392
ZAVOD ZA SPORT I MEDICINU SPORTA RS, KNEZAVIŠESLAVA 72, BEOGRAD

Cancellations and/or modifications to your original registrations are to be made in writing (fax, letter or email) to Conference Office:

Kancelarija Konferencije / Conference office:

Kneza Višeslava 72, 11000 Beograd, Srbija
+ 381 (11) 3555460 ext 153 Fax. +381.11.3555.288

e-mail:

Web site: www.sportsmedicineserbia-conference.rs