International Symposium on Wildlife Utilisation

	International Symposium on Wildlife Utilisation in Southern Africa A Veterinary Perspective

Electronic Application:

Applications close 1st October 2010

Once you have submitted the form you should receive a confirmation e-mail within one week. If you do not received an e-mail from us, please contact us again, either by submitting the form again or by sending an email to symco.op@gmail.com

All fields marked with a * are required:

Surname:*

First Name:*

Title: Mr
Mrs
Ms
Dr
Prof

If none of the above, please specify:

Age:*

University at which you are registered:*

Study Year:*

Please provide reasons why you want to attend SYMCO 2011 and describe what you expect from SYMCO 2011:*

E-mail Address:*

Full Correspondence Address:*

Telephone Number:*

Fax Number:

Any medical conditions we should be aware of (e.g. diabetes, allergies, etc.):

Specific dietary requirements:

If vegetarian: I eat white meat
I do not eat meat at all

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International Symposium on Wildlife Utilisation in Southern Africa

A Veterinary Perspective

Electronic Application:

International Symposium on
Wildlife Utilisation in
Southern Africa