REGISTRATION FORM

I wish to register to attend the Workshop on 

Principles of Pharmacokinetics - Parametric and Nonparametric 
Population PK and PD Modeling: Applications to Therapeutic Drug 
Monitoring and to Optimal individualization of Drug Therapy

Monday through Friday, April 8-12, 2002.

Location:
The Institute for Physical and Chemical Medicine, 
4/6-b-101 Kuusinena Street, Moscow, 123 308, Russia 


Registration information (no fee):

   Name of Registrant ____________________________________________
          Institution ____________________________________________
              Address ____________________________________________
     City, State, Zip ____________________________________________
              Country ____________________________________________
		Phone (____)_____________ Fax (____)______________
         Email address ___________________________________________
	

Please return this form directly to:

Irina Bondareva, Ph.D. 
Laboratory of Mathematical Modelling
Research Institute of Physical and Chemical Medicine 
4/6-b-101 Kuusinena Street, Moscow, 123 308, Russia

Phone: 7-(095)-195-3878
Fax: 7-(095)-314-1053

Email = ibondareva@mtu-net.ru

Please register early. First come are first served. Registration is 
limited to the spaces available. 
	

I would also like to receive information about the USC software.

Yes _____
 No _____


I heard about this conference from:

                 mailing  _____ 
            word of mouth _____
electronic bulletin board _____
                      web _____
   other (please specify) _____