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Study Group

In order to enrol in the Study Group, please fill in the following FORM in each part. After this simple operation, give OK and you will be contacted.
Dati personali:

  • Email*:

  • Name*:

  • Surname*:

  • taxpayer's code number*:

  • Speciality*:

  • Sex*: M F
  • Birthplace*:

  • District/Country*:

  • Date of birth*:

  • Home address*:

  • Postcode*:

  • City*:

  • District*:

  • Country*:

  • Mobile number:

  • Further telephone number:

  • Fax:

  • Newsletter

Data concerning your institute or hospital:


  • Name of your institute or hospital*:

  • Ward or hospital unit*:

  • Address*:

  • Postcode*:

  • City*:

  • District*:

  • Country*:

  • Further notes:

  • (*) obligatory.
  • Your data will be processed according to the Privacy Provisions (Decree Law of the 30th June 2003, n. 196 of the new code) and used by ARECO for institutional aims only. Providing your personal data is obligatory to continue your relation with ARECO.
  • codice di sicurezza
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