National Institue of Health Dr. Ricardo Jorge, IP (INSA) Please fill out this form and send it by email to: emilia.miloiu@eu-shape.eu by 10th September at the latest. In case you register and then you are no longer available to attend the workshop, we would appreciate if you could notify us in due course at the same email address.
First Name………………………………………………………………………………… Last Name………………………………………………………………………………… Title ……………………………………………………………………………………….. Organisation……………………………………………………………………………... Email address……………………………………………………………………………. Telephone…………………………………………………………………………………