Registration FEAMC symposium Tirana 28-30 April 2023 6 February 2023 Title Initials (required) Given name (required) Surname (required) Address (required) City (required) Postal code (required) Country (required) Phone number (preferably mobile phone) (required) Your email (required) Medical profession (required) Arrival Thursday April 27th, 2023Friday April 28th, 2023Saturday 29th, 2023Not applicable, online participation, if provided Departure Friday April 28th, 2023Saturday 29th, 2023Sunday 30th, 2023Monday May 1st, 2023Tuesday May 2nd, 2023Not applicable, online participation, if provided Room at the University of Our Lady of Good Counsel in Tirana I prefer a single roomI prefer a double or twin room and share this room with a participant who also registers for the symposiumI prefer a double or twin room and share this room with somebody who does not participate in the symposiumI prefer a triple room and share this room with 2 other participantsI do not prefer a room at the University of Our Lady of Good Counsel in Tirana Preferred persons for room sharing (if applicable): The estimated costs including a two night stay, meals and symposium are estimated to be around € 250,-- per person. You will be informed later about payment (in advance in euros or during the stay in Lekë). Additional comments: 106