ISISPHARMA DERMATOLOGIE

Invitation

We are honored to invite you to our 12th International Meeting
on the French Riviera from

at the Pullman Cannes Mandelieu Royal Casino.

To finalize your registration please complete the following form.

Surname*

Firstname*

Phone Number*

E-mail*

Gender*

Country of Origin*

Please upload a photo ID (JPG or PNG format of good quality / minimum 1920*1080px or 1080*1920px / no passport type photo)*

Taille max. des fichiers : 150 MB.

Do you have a special diet or allergy?*

Arrival flight number

Arrival Time

Departure flight number

Departure Time

Other possibility

I will arrive and leave by my own

If you were an animal, which one would you be?

And why?

What is your favorite color?

What is your favorite dish?