Conference Registration: Psychoanalytic Couple and Family Therapy

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First Name*

Surname*

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Option*

Full Rate with group supervision 250 EUR

Full Rate with NO group supervision 220 EUR

Reduced Rate (student or candidate) with group supervision 170 EUR

Reduced Rate (student or candidate) with NO group supervision 140 EUR

EARLY BIRD – Registrations before the 31th July 2019 receive a 20 Euro discount.
In this case, please enter “EARLY BIRD” in to the Message field and deduce 20 EUR from the applicable rate.

Message

Payment*

Yes, I have transferred the registration fee to the following bank account.

Bank: ERSTE BANK
Account owner: Medizinische Universitaet Wien
IBAN: AT36 2011 1404 1007 0700
BIC: GIBAATWW
Purpose (Verwendungszweck): KO76600006 (strictly necessary!)

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