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*

Birth Date*

Passport Number*

Please upload a photo ID*

Taille max. des fichiers : 100 MB.

Do you have a special diet or allergy?*

Arrival flight number*

Arrival Time*

Departure flight number*

Departure Time*

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

And why?

What is your favorite color?

What is your favorite dish?