Registration Registration form Your greeting (mr, mrs, dr, prof etc.) Your First name (required) Your Last name (required) Your Place of work Your Country and city (required) Your e-mail (required) Registration type (required) —Выберите вариант—VIP ticket 350 EURFull congress (2 days) 140 EUR until Aug 26Sep 28 One day ticket 80 EUR until Aug 26Sep 29 One day ticket 80 EUR until Aug 26Remote participation (Paper submission only) 70 EUR until Aug 26 Are you a member of Russian Professional Medical Association of Complementary and Alternative Medicine or European Society of Integrative Medicine (ESIM-Berlin)? YesNo Are you a member of World Hirudotherapy Organization? YesNo Number of seats at Congress Dinner? (Included in VIP ticket – don’t order here) Number of seats on bus tour? (Included in VIP ticket – don’t order here) Additional notes: Please leave this field empty. I confirm, that the information which I have submitted in latin script above is correct.