Herd health & Management Workshop -Nov.2017- Israel

Hachaklait Veterinary Services

Registration Form

 

  Registration fee: 3,700 US$ per person (in double bedroom-subject to availability) 

                                  4,300 US$ per person in a single room.

 

Note- Double rooms availability depending on suitable and matching requests by participants.

          

  
Personal Details
 
* First Name
 
* Surename
 
* gender (for room pairing purposes if choose double)
 
 male
 female
* Address:
 
* Phone: full number incl. country code
 
* Mobile: full number incl. country code of phone that will be used while in Israel
 
* E-mail:
 
Choose type of room:
 
 SINGLE ROOM
 DOUBLE BEDROOM
If you already have a partner who is participating in this workshop, please note partner's full name
 
* Payment Method
 
 CREDIT CARD
 BANK TRANSFER
 
Profession Details:
 
* Profession:
 
 veterinarian
 farm manager
 consultant
 student
 other 
Date of graduation
 
* Work Experience:
 
 up to 3 years
 3-10 years
 more than 10 years
* Academic Title:
 
 BSc
 MSc
 DVM
 PhD
 Other: 
* Previous experience with Herd Health programs:
 
 None
 Little
 Moderate
 Experienced
* Previous experience with data analysis:
 
 None
 Little
 Moderate
 Experienced
Other Important Details, Special reqests or needs we should know about:
 
 
 
Is this your first visit to Israel?
 
 Yes
 No
 

 
  
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