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Pizza with a Prof Registration
Title:
---
Mr.
Mrs.
Prefix:
First Name:
Surname:
Clinic/Organisation:
City:
Phone:
Email:
Message:
Please select your discussion partner:
1st choice:
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Prof. Dr. Nikolaos Bechrakis, Innsbruck
Prof. Dr. Nicole Eter, Münster
Prof. Dr. Gerd Geerling, Düsseldorf
Prof. Dr. Franz Grehn, Würzburg
Prof. Dr. Rudolf Guthoff, Rostock
Prof. Dr. Horst Helbig, Regensburg
Prof. Dr. Antonia Joussen, Berlin
Prof. Dr. Birgit Lorenz, Gießen
Prof. Dr. Norbert Pfeiffer, Mainz
Prof. Dr. Berthold Seitz, Homburg/Saar
Prof. Dr. Hagen Thieme, Magdeburg
Prof. Dr. Ueffing, Tübingen
2nd choice:
---
Prof. Dr. Nikolaos Bechrakis, Innsbruck
Prof. Dr. Nicole Eter, Münster
Prof. Dr. Gerd Geerling, Düsseldorf
Prof. Dr. Franz Grehn, Würzburg
Prof. Dr. Rudolf Guthoff, Rostock
Prof. Dr. Horst Helbig, Regensburg
Prof. Dr. Antonia Joussen, Berlin
Prof. Dr. Birgit Lorenz, Gießen
Prof. Dr. Norbert Pfeiffer, Mainz
Prof. Dr. Berthold Seitz, Homburg/Saar
Prof. Dr. Hagen Thieme, Magdeburg
Prof. Dr. Ueffing, Tübingen
Would you like to be assigned to another discussion partner if the selected aren't available?
Yes
No
(Your entered data will be handled carefully and just forwarded to your discussion partner)