ESCop 2019 Registration Form

    Name* (for Certificate)

    Country and City*

    Email* (required)

    Phone/mobile*

    Institution name and address*

    For invoice: ЕГН / i.d. №

    For invoice: V.A.T. and company details

    Pay the Registration fees in advance in Euro ONLY via bank transfer

    BANK ACCOUNT DETAILS
    Name: Bulgarian Pathology Association
    Bank: UniCredit BulBank AD
    Address: 7, Sveta Nedelya Sq.; 1000 Sofia, Bulgaria
    IBAN: BG92 UNCR 7000 1522 2356 13
    SWIFT/ BIC: UNCRBGSF
    Branch: Sofia South Park
    Current account in EUR

    Please attach a copy of the bank transfer up to 3 MB*

    (file formats: jpg, png, pdf, docx)

    Note: All fileds marked with an * are required!