REGISTRATION FORM
3rd edition of The Poznan Veterinary Forum – „Health of cattle and pigs“ Poznań – 19-22.03.2015
Name*
Surname*
Company name
VAT No.
Telephone*
E-mail*
Address*
Postcode*
City*
Invoice for participation**
□Yes
□No
fields marks (*) are mandatory/ for invoice all marks are needed
** mark as appropriate by „x”
Mark which part of WETFORUM do you want to participate (check parts your choice enter fee):
Part of
WETFORUM
Part 1
Part 2
Part 3
Description of the WETFORUM`s parts
Workshop Pig 1 - Environment principles, role of gases and how
environment affect the pig; natural ventilation; mechanical ventilation Miquel Collell
Workshop Pig 2- Piglets diarrhea - Section, Laboratory diagnosis and
interpretation of results - Verena Gotter
Workshop Pig 3 - The methodology of evaluation of post-mortem lung in
APP and M.Hyo aspect, the use of Ceva Lung Program
Gross fee
in €
40,00
25,00
25,00
Part 4
Lectures about pigs health
50,00
Part 5
Lectures about cattle health
50,00
Part 6
Workshop Cattle 1 - Presentation and discussion of the critical points
affecting the maintenance of a health of udder (nutrition, conditions of
living, milking) - Martina Hoedemaker
40,00
Part 7
Workshop Cattle 2 - Ultrasound scanning of the cow - Dramiński
25,00
Part 8
Workshop Cattle 3 - Reposition and fixation of the left side displaced
abomasum using the laparoscopic method modified by Christiansen Aleksander Skoracki
75,00
Part 9
Social meeting 20.03.2015
15,00
Part 10
Accompanying person’s participation in lectures about pigs health
15,00
Part 11
Accompanying person’s participation in lectures about cattle health
15,00
Part 12
Accompanying person’s participation in social meeting 20.03.2015
15,00
Choice enter fee
Registration payment
Participation in both lecture sessions (part 4 & 5) is 90,00 €.
Students receive 70% discount.
Lecture fees include: conference publications, admission to lecture sessions, the opportunity to (meet/view/visit)
trade exhibitors, coffee breaks and lunch.
Discounts:
Discounts are available for participants booking:
 two workshop - 10%,
 three workshops
- 15%
In addition on payments received before the End of February a 10% discount will be applied.
Registration can be made via the following means:
- by post to the following address: BASKO Aleksander Skoracki, ul. Strzeszyńska 33/207, 60-479 Poznań
- by fax to: 0048 61 825 00 02
- by email to: basko@basko-vet.com
Payments are to be made to the following account:
BASKO Aleksander Skoracki
os. Na Murawie 13/5, 61-655 Poznań
Deutsche Bank Polska S.A.
IBAN:
PL06191010482218003809840002
BIC (Swift-Code): DEUTPLPXXXX
Title: Name and surname + number of part WETFORUM
*) the participants name and surname are essential for verification of payment and registration
Please note: Participants need to make their own accommodation arrangements.
Information concerning accommodation can be found on www.wetforum.pl alternatively, a list of local hotels
and student housing in the vicinity of BIOCENTRUM is available from the organizers.
All processing of personal data for the purposes of these registration shall be in accordance with: ustawa z dn.
29.08.97 o Ochronie Danych Osobowych Dz. Ust Nr 133 poz. 883.
__________________________________
Signature of the participant