REGISTRATION FORM

(Please print this out and fax it back to Dr. Azucena 
Aldaz at 34-948-175-278)


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

Thursday - Saturday, January 24-26, 2002.

Location: University of Navarra, Pamplona, Spain.


   Name of Registrant ____________________________________________
          Institution ____________________________________________
              Address ____________________________________________
     City, State, Zip ____________________________________________
              Country ____________________________________________
		Phone (____)_____________ Fax (____)______________
         Email address ___________________________________________
	
Please return this form directly to:

Azucena Aldaz, Pharm. D.
Servicio de Farmacia, Facultad de Medicina,
Clinica Universidad de Navarra
Avda Pio XII, n 36
31008 Pamplona, Spain

Phone: 34-948-296-692, x4113, 4119
Fax: 34-948-175-278

Email: aaldaz@unav.es
	
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) _____