cece2024

REGISTRATION

Registration Fees

ESCE Member	Registration Fee € 450
Regular	Registration Fee € 500
Student, Post Doc	Registration Fee € 350
Accompayning	Registration Fee € 200

Attendee Details

Title(*)

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First Name(*)

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Last Name(*)

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Registration

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Information printed on badge

Title(*)

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First Name(*)

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Last Name(*)

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Other Informations

Address(*)

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City(*)

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State/Province(*)

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Zip Code(*)

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Phone Number(*)

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Email Address(*)

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Confirm Email Address(*)

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Additional Email Address

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Affiliation Affiliation (Hospital, University etc.)(*)

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Do you plan to attend the opening reception on September 1st? (*)

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Attendance to the Social Trip and Social Dinner scheduled for Wednesday, September 4, is not included in the registration fees. Please tick if you wish to add to your registration

Trip 30€Conference banquet 70€ Invalid Input

Identify Dietary Restrictions
Please only identify requests that are truly necessary and not just preference

NoneVegetarianVeganOther (allergens/intolerances, religion-based requests) Invalid Input

Are you submitting an abstract for consideration? *(*)

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PAYMENT INFORMATION
IBAN IT22E0538702684000042880539
BIC BPMOIT22XXX

PAYPAL PAYMENT

Upload Receipt of Payment(*)

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BILLING DATA

invoice to(*)

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VAT number - if you do not have write 00000(*)

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Billing address(*)

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City (*)

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State(*)

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