XXIII CONGRESS OF THE INTERNACIONAL 
SOCIETY FOR DERMATOLOGIC SURGERY
and
NATIONAL MEETING OF PORTUGUESE
GROUP OF DERMATOLOGIC SURGERY
18th to 22nd September 2002 - Porto - Portugal

Welcome	Organizing Committee	Scientific Programme
Social Programme	Pre Congress Tours	Practical Information
Out & About	Registration Info	Registration Form
Abstract Form	Important Dates	4

CREDIT CARD PAYMENT

Please fill in and print this form, then send it to the secretariat by FAX

LAST NAME _______________________________________________

FIRST NAME ______________________________________________

Please charge my 

 Visa  American Express  Master Card / Eurocard 

Card Nr. ______________________________________

Security Nº ___________________________________

Expiry Date _____/_____

Cardholder’s name _____________________________

Signature _____________________________________

 

All currency exchange charges or bank collection fees are the responsibility oh the participant

All payments should be in euros.

(include additional 5% service charge)

Fax: + 351 21 364 95 23

Welcome	Organizing Committee	Scientific Programme
Social Programme	Pre Congress Tours	Practical Information
Out & About	Registration Info	Registration Form
Abstract Form	Important Dates	4

Secretariat:
MUNDICONVENIUS
R. Embaixador, 13 - 2 - 1300-215 Lisboa - Portugal
Tel: +351 21 364 94 98 Fax: +351 21 364 95 23
info@mundiconvenius.pt