Registration form

Please fill all required fields marked with *

Personal data
 
 
Profession *
 
 
 
 
 
Invoice data
 
 
 
 
 
 
 
Assistants (with physician)

You can book for your assistants
Please fill in the name and last name for each person

 
Gala dinner

It is possibile to make reservation for the gala dinner on Friday, June 7th at a cost of 99 € (VAT included) per person

 
Choose payment method

Total amount due: € 0

Notes

According to the Legislative Decree 196/2003 about protection of personal data, I am aware and I authorize the use of the information in your possession for my participation in this congress and to send me further communication relating to the congresses in this field.