Registration

Participant Data

Title *

First name *

Family name *

Birth date (dd/mm/yyyy) *

Birth place *

Gender *

Country *

Fiscal Code (italian participant only) *

Personal address *

Zip Code *

City *

State / Province *

Mobile Number *

E-mail *

Confirm your e-mail *

Company Data

Institution *

Department *

Registration fee

REGISTRATION FEES
(22% VAT included)

By March 31th
Surgeons, Perfusionists, Nurses € 200,00

After March 31th
Surgeons, Perfusionists, Nurses € 300,00

On site
Surgeons, Perfusionists, Nurses € 400,00

Resident, Trainee free

Conference Dinner (It is possible to purchase it for €60 on the next page)

Thursday, May 28th

Fortino Napoleonico

Via Poggio, 166 - 60129 Portonovo AN

Transfer from the Course venue is included.

Category *

Healthcare Profession (Doctor, Nurse; Perfusionist, etc.) *

Area of Specialization (Cardiac Surgery, Cardiology, Anesthesiology, etc.) *

Special Requirements

Please inform us about possible mobility and dietary restrictions, allergies and intolerances. We will do our best to satisfy your requirements.

Privacy

Information pursuant to Legislative Decree no. 196/2003 and EU Regulation no. 2016/679
Noema Srl unipersonale, owner of the processing of data, processes personal data supplied by you in a computerized way, for purposes related to the performance of the indicated event and to update you on the initiatives promoted by Noema Srl.
The personal data in question are processed according to the principles of lawfulness, correctness and transparency; their conferment is optional, but in case of refusal, Noema Srl unipersonale will not be able to respond to the request for participation in the event and related activities. You may exercise the rights referred to in art. 7 of Legislative Decree 196/2003 and Chapter III of EU Regulation 2016/679 (access, rectification, deletion, limitation in processing, opposition, requesting data portability and proposing a complaint to the supervisory authority) by writing to the company Noema Srl unipersonale, via Orefici n. 4, 40124 Bologna, fax 051 221894, e-mail: info@noemacongressi.it.
The treatment takes place at the aforementioned offices and is carried out by the personnel in charge.
The data provided will be kept for a period of time not exceeding that necessary for the purposes for which they were collected, will not be disclosed to third parties, unless the communication is required by law.

Authorization privacy law 196/2003 and EU Regulation no. 2016/679 *

Information

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For more information and assistance:

Noema Srl Unipersonale
Via Orefici, 4 - 40124 Bologna
+39 051 230385
+39 051 4686055
m.gavagna@noemacongressi.it