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Please use this form to order tickets for the Integrative Medicine Kongress 12./13. April 2008 in Munich. For more information please click here.

   
  First Name:   
  Last Name
  Address:
  City:
  State:
  ZipCode:
  Telephone:
  Email: * important for confirmation
   
  # of Tickets being ordered

  Total amount (in US-$)

* type in total purchase amount
$ 330 per ticket | $ 300 before 3/20 | with partner $ 550 | day ticket $ 183
  Type of tickets, Names
   
 PAYMENT METHOD
  Card Type:
  Card Number:
  Expiration Date:
  Name On Card:
 

Please click PAY only once to finalize your secure online payment. You will receive a confirmation email with details of your transaction within a few minutes from Heal Breast Cancer Foundation.

In addition, you will get a congress ticket confirmation with event details within a few days.

Thank you.

 
                      PREVENT to CURE
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