Registration form

 
 


The Second EFPP Conference for Psychoanalytic Psychotherapy Organisations of East and Central Europe.

from Friday 27th of September to Saturday 28th of September 2002 in Riga, Latvia.


Name
First name

Mr. / Mrs.

 

Mr.

Mrs.

Prof./Dr/M.
Profession
Affiliation /
Organization

in which section do you want to participate

 

adult

child / adolescent

group

Address
City

Country code
Telephone
Fax

e-mail

 

 

hotel reservation (for more information see hotel accommodation)

Please fill in this form and send it back with the copy of your payment to:
Andis Uzans, Grecinieku iela 34, Riga LV1050, Latvia
or fax +371 7227276
or send an e-mail with your data to uandis@hotmail.com

Participants who need invitations to get Latvia's visa: Please, don't delay sending back this form!

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last modified: 2002-07-26