Application Form

The Lundbeck Seminars are open for all. To apply for participation, fill out the form below (the fields marked with a red asterisk are required fields).

However, please note that participation is not guaranteed until your application has been confirmed.

The cost of the seminar is 2,400 Euro, which includes seminar fee, training materials, accommodation and all meals, but not travel expenses.

Your profession:

Job Title:

First Name:
*
Last Name:
*
Email address:
*

Preferred seminar date:
*

Workplace:
*
VAT no. (if available):

Address:
*
Postal Code:
*
City:
*
Country:
*
Phone:

Fax:

Please include a brief CV:

Where did you hear about our seminars?

Notes:

Last updated: 20.12.2011

Lundbeck Institute

Seminars

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Apply for participation

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Application Form

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