THE 3-rd INTERNATIONAL COLLOQUIUM FOR THE HISTORY OF PHARMACY

AL III-LEA COLOCVIU INTERNATIONAL DE ISTORIA FARMACIEI

                                                           26 – 28 SEPTEMBER 2008

26 – 28 SEPTEMBRIE 2008

TÂRGU – MURES,  SIBIU, BIERTAN, SIGHISOARA

ROMANIA

ROMÂNIA

Societatea Româna de Istoria Farmaciei                                   For internal use only:

Romanian Society of the History of Pharmacy               Reg. No .....................

Str. Traian Vuia nr. 6, sector 2                                     Date ...........................

020956, Bucuresti, România

Tel.0040.21.311.48.57; Fax :0040.21.311.48.57

E-mail: farma_srif@yahoo.com; www.srif.eu

One application form for one person! We accept copies of this formular.

APPLICATION

Family Name: ............................................ First Name: ..................................................................

oMrs./Ms.                          oMr.                 oProf. Dr.                 oDr.       oMember RSHP, ISHP

Department/ Institution.......................................................................................................................

Address : ............................................................................................................................................

Postal Code/Place : ............................................. Country: ...............................................................

Phone : ............................ Fax : ................................e-mail: .............................................................

Accompanying person : Family Name:................................ First Name:..........................................

* Enclose a copy of a valid student pass or anything similar

Pay the whole fee (and bank services) in Euro or Lei  by:  05.09.2008 .

Bank: BRD Suc. CALDERON

31 Str. Calderon Bucharest, Romania,

Acount  LEI: SV42078994100 ; IBAN: RO68BRDE410SV42078994100

Acount Euro: SV42079444100; IBAN: RO94BRDE410SV42079444100           

    Date .............................                                                       Signature ............................................... 

THE 3-rd INTERNATIONAL COLLOQUIUM FOR THE HISTORY OF PHARMACY

AL III-LEA COLOCVIU INTERNATIONAL DE ISTORIA FARMACIEI

26 – 28 SEPTEMBER 2008

26 – 28 SEPTEMBRIE 2008

TÂRGU – MURES,  SIBIU, BIERTAN, SIGHISOARA

ROMANIA

ROMÂNIA

  Use CAPITAL letters to fill in the form and return it by 15.06.2008         For internal use only:

Societatea Româna de Istoria Farmaciei                                                       Reg. No .....................

Romanian Society of the History of Pharmacy                                              Date ...........................

Str. Traian Vuia nr. 6, sector 2                                                                     

020956, Bucuresti, România

Tel.0040.21.311.48.57, Fax :0040.21.311.48.57

E-mail: farma_srif@yahoo.com.; www.srif.eu

Family Name: .................................... First Name :......................................................

Address: ........................................................................................................................

Postal Code/Place: ...................................................Country: ......................................

Phone: ..................................... Fax:........................ e-mail:..........................................

Lecture/conférence/Vortag (30 min.);  Paper/Travail/ Mitteilung (max. 15 min.)

Preference/Preference/Vorzug:

o Poster(90x120cm)

o Oral presentation/presentation orale/mündlicher Vortrag

                                                                    o Slides (European system)

                                                                    o Overheads

                                                                    o Powerpoint

o Lecture during the forum for young researchers/Présentation dans le cadre du Forum des jeunes chercheurs/Vortrag im Rahmen des Forums für junge Forscher.

The abstract may contain up to        Le résumé contiendra au                     Die Zusammenfassung darf

1200 characters. It should be         maximum 1200 signes. Il                maximal 1200 Zeichen enthalten.

send by email or on floppy disk      devra   impérativement étre          Sie muss bis spätestens zum 15.

in Word for Windows format to     envoyé avant    le 15.06.2008      06.2008 entweder mit e-mail oder

address mentioned above by           soit par e-mail soit par       mit einer Diskette an die

15.06.2008 at the latest.                disquette a l’adresse ci-dessus.     obengenannte Adresse geschickt

The abstract should contain:            Il contiedra:                                    warden. Sie muss enthalten:

?Title of presentation                      ? Le titre de la présentation           ? Titel der Vorführung

?Author’s name                              ? Les noms du/ou des auteurs       ? Name des/oder der Autoren

? Institution or society                     ? Institution ou société                  ? Institution oder Gesellschaft

? Abstract                                      ? Résumé                                       ? Zusammenfassung

Only the works of persons who      Seules les présentation des             Nur die Voträge derjenigen

have           paid the colloquium fees will     auteurs inscrits au colloquium  Personen, die Colloquiumgebühren

be included in the program.                         Et ayant payée leur inscription            bezahlt haben, warden im

                                                                 seront incluses dans le programme.    Programm aufgeführt.

International Society for the History of Pharmacy 2000 ^©