Saving registration...
Name of event:  Rehabilitace u dětí s DMO-ostatní
Account number:  931761/0710
Variable symbol:  114212
Amount:  300 CZK  (Fixed amount)
Payment by card:  Yes
Validity:  14.07.2017 - 13.10.2017
Participant - email:   (*)
Participant - name:   (*)
Participant - surname:   (*)
Participant - title before:   
Participant - title after:   
Participant - date of birth:   (*)
Participant - town/city:   (*)
Organization name(according to ARES):   
Work placement:   (*)
ID of company:   
Tax registration number:   
(*) - Required field.