International Society of Anti-Infective Pharmacology An interdisciplinary scientific society for the study of pharmacodynamics and pharmacokinetics and for the improvement of dosing of anti-infectives Symposium Registration Form

ISAP Symposium Registration
c/o unité de Pharmacologie Cellulaire et Moléculaire
UCL 73.70 avenue E. Mounier 73
B-1200 Brussels, Belgium
Fax: +32-2-764.73.73

First Name ______________________________ Last Name __________________________________

Affiliation ___________________________________________________________________________

Mailing Address Number/Street _________________________________________Suite / Apt. ________

City _____________________________________ Province / State _____________________________

Country _________________________________ Postal / Zip Code ____________________________

Tel _____________________________________ Fax _______________________________________

e-mail _____________________________________________________________________________
 

Remember: Registration entitles you to full attendance to the scientific sessions, complimentary coffee and coffee/tea breaks, lunches and the Friday January 21st dinner.  Registration does not include accomodation, other meals than those mentionned above, or travel expenses.  Alle these must be borne by the registrant.   Astra Research Centre will assist the registrants in making hotel reservations.  The contact e-mail address for these matters is <mandyam.mukund@astrazeneca.com>.
 

IMPORTANT REMARK: ATTENDANTS FROM OUTSIDE INDIA MUST HAVE A VALID VISA TO ENTER INDIA.  THIS VISA MUST BE APPLIED FOR AT THE CLOSEST DIPLOMATIC MISSION OF INDIA IN THEIR COUNTRY OF CITIZENSHIP OR PERMANENT RESIDENCE  (CONSULAR OFFICES OR EMBASSY OF INDIA).  BECAUSE OF POSSIBLE DELAYS, ATTENDANTS ARE ADVISED TO MAKE THEIR APPLICATION WELL IN ADVANCE OF THEIR EXPECTED DATE OF DEPARTURE.