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ROMANIAN ACADEMY SUBSCRIPTION I want to subscribe to – 1 year Subscription (4 issues of the journal) – 280 RON (72 Euro for foreign subscribers) – 2 years Subscription (8 issues of the journal) – 540 RON (136 Euro for foreign subscribers) – Single Issue – 80 RON (20 Euro for foreign subscribers) Please send the filled subscription at the following e-mail: [email protected]. S T O M A T O L O G Y E D U J O U R N A L VOLUME 3 ISSUE 2 AUTUMN 2016 PUBLISHING HOUSE OF THE ROMANIAN ACADEMY PLEASE COMPLETE ALL THE SUBSCRIPTION FIELDS IN CAPITAL LETTERS! Name…………………………………………………. Surname ……………………………………………………………… Mrs. Mr. Ms. Home Address City………………………………………….. Sector…………………………. District……………………………………….. Post office code…………………………….. Mobile phone………………………………………………………………….. E-mail:………………………………………………………… Web…………………………………………………………… Student Resident Specialist doctor Primary doctor Competence…………………………………………………………………………………………………………………… Institution………………………………………..……………………………………………………………………………… Activity domain: Private Public Department…………………………………………………… Position……………………………….……………………… Specialty…………………………………………………….. Institution address…………………………………………… City………………………………………….. Sector……………………………………. District……………………..……… Post office code……………………………….. Phone…………………………………………………….………………… E-mail:…………………………………………………………. Web…………………………………………………………… CUI (Institution Unique Registration Code) ………………………………………………..………………………………… Yes No VAT Payer: Invoice – please fill all the necessary details for invoice: Name…………………………………………………… CNP (Personal Identification Number)………………………….. Or Institution …………………………………… CUI (Institution Unique Registration Code)………………………………. Date………………………. Signature…………………………. After filling the subscription, please send it together with the proof of payment to: ROMANIAN ACADEMY PUBLISHING HOUSE 13, Calea 13 Septembrie, 5 th District RO-050711 Bucharest, Romania Tel: +4021 318 81 46, 4021 318 81 06 Fax: +4021 318 24 44 e-mail: [email protected] www.ear.ro S.C. MANPRES DISTRIBUTION S.R.L. 1, Piaţa Presei Libere, Corp B 3rd floor, room 301-302, 1 st District RO-013701 Bucharest, Romania Tel/Fax: +4021 314 63 39 e-mail: [email protected] www.manpres.ro