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Acreditation Form
*First name:
*Name:
Professional card no:
   
Zip code:
Town:
Country:
Tel:
Mobile phone:
Fax:
*E-mail:
   
FUNCTION  
  Editor Journalist
Free lance Correspondent
Photographer
Feature editor, name of the feature:
   
MEDIA  
  Press agency Trade press
General press Photo agency
Multimedia press Radio/TV
Other:
*Name of media:
Address:
Zip code:
*Town:
*Country:
Tel
Editor's name:
   
 

BioForum 2010 Media Partners:

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