Registration | Tropmedex

Choose your room:

Single room

Single supplement Euro 500,-

Twin room

Facts about the participant

Gender

Last Name

First Name

Street/Nr.

Zip code

Place

Country

Date of Birth

Nationality

Medical speciality

E-Mail

Phone

Mobile

Contact of close relative/friend

Last Name

First Name

E-Mail

Phone

Mobile

How did you find out about TROPMEDEX?

I have read and accept the terms and conditions

After you have sent the filled registration form, you will receive within 3 minutes an email regarding payment of deposit (Euro 1.800,-). If you haven’t received an email from us, call the mobile number +49(0)152-55698101.