Advanced PKworkshops Online Registration

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ONLINE REGISTRATION FORM FOR ONE WEEK WORKSHOP IN
THE SHEINER/ROWLAND ADVANCED COURSE IN PHARMACOKINETICS/PHARMACODYNAMICS

Sils-Maria, Switzerland
Sunday/Friday 17th - 22nd March 2024

FEE

Total fee, including board and lodgings, early bird registration fee is CHF 4,480 Swiss Francs before 31st January 2024. After that date standard registration fee is CHF 4,980 Swiss Francs per person. In the event of cancellation of a place and provided that written notice is received prior to 20th February 2024, a refund of 70% of the total fee will be made. Cancellation after that date will result in no refund. However, name substitutions could be accepted by fax or email seven days prior to the event.

The Workshop is limited to 60 applicants only. The Workshop will be in English. Ability to understand and converse in English is essential. A limited number of places, at a reduced fee, are available to academic persons. Further details are available upon request to writing to irene.sung@pkworkshops.com.

Please email us again if you do not hear from us within 14 days of your sending in an online application. It is probably your application was not sent and cannot reach us because an incompatible emailer program is being used in your previous attempt.

Online application date*

Eligible for Early Bird fee (Sw.fr. 4,480)*Yes

Delegate's Email address

Repeat Delegate's Email address

Delegate's Title (e.g., Prof., Dr, Mrs, etc)

Delegate's First name*

Delegate's Family name*

Delegate's Occupation*

Name of Company or Institution*

Department or School

Correspondence address line 1 (Number, Street, Building)*

Correspondence address line 2 (City)

Correspondence address line 3 (County or Province)

Country*

Post Code / Zip Code

Office telephone no (numbers and '-' and ' ' chars)*

Office fax no (numbers and '-' and ' ' chars)

Mobile no (numbers and '-' and ' ' chars)

Emergency contact name and relationship*

Emergency contact tel no (numbers and '-' and ' ' chars)*

Emergency contact email address*

Repeat Emergency contact email address*

Have you attended other pharmacoknetic workshopsNo
Yes, run by Prof Rowland
Yes, run by others

Previous experience in pharmacokineticsNone
1 year
3 years
over 4 years

To prove you are the applicant, please enter into the box: irene.sung@pkworkshops.com*

Repeat To prove you are the applicant, please enter into the box: irene.sung@pkworkshops.com*

Please type 'agree' in the box to confirm you read the fee condition*

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