Participant Information

Participant details

First Name *

Family Name *

Date of Birth (dd/mm/yyyy) *

Place of Birth *

Contact details

Address *

City *

State/Province

Zip Code *

Country *

Telephone

Mobile Phone

Email *

Confirm your email *

Association/Organisation/Institution

Institution *

Department *

Registration Details

Registration fees (VAT included):
Radiologist	€ 800,00
Resident	€ 700,00

The registration fee includes access to all lectures and workshops, digital lecture materials, lunch and coffee breaks, welcome reception and work dinner on Thursday.

The number of participants is limited to 100 guests.
Registration is confirmed only after payment is received.

Registration Type *

ECM (Only for Italian participants who seek to obtain CME credits) *

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EACCME *

Dati professionali

Categoria professionale *

Inquadramento professionale

Iscritto all'Ordine/Collegio/ASS. prof.li

Numero

Privacy

Information on privacy and publication of images
Pursuant to art. 13 of EU Regulation 2016/679, the personal data of the participants, their photographs and video footage taken during the event, will be processed by DueCi Promotion for purposes related to the communication and enhancement of the event. Said personal data will be communicated only to the subjects who will carry out the activities necessary for the aforementioned purposes. Any images and video footage may also be circulated through publication on websites related to the event. In relation to the data provided, including photos and videos, each participant may exercise the rights referred to in art. 13 of EU Regulation 2016/679, by contacting the Data Controller, DueCi Promotion.

I confirm that I have read the information on privacy and publication of images, and I agree to the processing of my personal data and images *

Information

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For more information and assistance:

DueCi Promotion s.r.l
Via Santo Stefano 75 - 40125 Bologna – Italy
+39 051 4841310
+39 051 247165
agabrielli@duecipromotion.com