Payment - Eursafe2006

Note:
If you make a bank transfer after 16th of June you need to bring the receipt to the conference. This because the transfer may not be registered on our bank account.
 

    
 

I have made a bank transfer the amount of Euros Kroner

To:

    
  Forskningsetiske komiteer/Eursafe2006/Kvestor    
  PO Box 522, Sentrum    
  N-0105 Oslo    
  Fax: +47 23 31 83 01
Eursafe2006@etikkom.no		    
       
  Bank account: 6170 05 20942    
  SWIFT/BIC: NDEANOKK    
  IBAN: NO5261700520942    
       
  Bank: Nordea Bank, Norway as    
  PO Box 1166, Sentrum    
  N-0107 Oslo    
       
  Please fax/send us this form    
       
 

Mrs   Mr

Last name:    
First name:    
Company:      
Address:        
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E-mail: