Registration formulary for the USP EDUCATION COURSE Please return the filled, signed and scanned registration formulary by e-mail at: flavian.radulescu@umfcd.ro. . Family name: . First name: . (the name and title you provide here will be printed on your badge and your certificate of attendance) Institution: Address of the institution: Postal/Zip code: , City: . Country: . Telephone: , Fax: . E-mail: . Please check the box corresponding to the courses you intend to attend: Early bird Regular Course Dates Check fee*, EUR fee, EUR I. course: October 01st-02nd, Fundamentals of Dissolution Guidance for the – 650 800 Verification and Qualification of a Dissolution 2018 Apparatus (with lab) II. Second course: October 03rd-04th, Development and Validation of Dissolution 650 800 2018 Procedures I & II. First and second course: Fundamentals of Dissolution Guidance for the – Verification and Qualification of a Dissolution October 01st-04th, Apparatus (with lab) 1100 1400 2018 and Development and Validation of Dissolution Procedures *Payment must be performed before August 31st, 2018. Each course is credited by the Romanian College of Pharmacists with 20 CPE (continuous pharmaceutical education) points. Date: . Signature: .
Registration formulary for the USP EDUCATION COURSE Please return the filled, signed and scanned registration formulary by e-mail at: flavian.radulescu@umfcd.ro. . Family name: . First name: . (the name and title you provide here will be printed on your badge and your certificate of attendance) Institution: Address of the institution: Postal/Zip code: , City: . Country: . Telephone: , Fax: . E-mail: . Please check the box corresponding to the courses you intend to attend: Course Dates Check Early bird fee*, EUR Regular fee, EUR I. course: Fundamentals of Dissolution – Guidance for the Verification and Qualification of a Dissolution Apparatus (with lab) October 01st-02nd, 2018 650 800 II. Second course: Development and Validation of Dissolution Procedures October 03rd-04th, 2018 650 800 I & II. First and second course: Fundamentals of Dissolution – Guidance for the Verification and Qualification of a Dissolution Apparatus (with lab) and Development and Validation of Dissolution Procedures October 01st-04th, 2018 1100 1400 *Payment must be performed before August 31st, 2018. Each course is credited by the Romanian College of Pharmacists with 20 CPE (continuous pharmaceutical education) points. Date: . Signature: .
CFR-USP-Registration-Formulary-EN.docx