REGISTRATION FORM:
   Retroperitoneal Sarcoma Surgery - 7th edition
   
    Period : 6th May 2021 - 7th May 2021
    Location :
   On-line Registration will be available until 6th May 2021
 
   Family Name *
   
 
   Name *
   
 
   Place of Birth *
   
 
   Date of Birth *
   
 
   VAT number
   
 
   Profession/Specialization *
   
 
   Institute
   
 
   Professional address
   
 
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   City *
   
 
   Town
   
 
   Postal Code *
   
 
   Nation *
   
 
   Mobile *
   
 
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    Privacy
   
    I have read and I accept the above conditions
 
   Note:
   Description: Resurge+ Participant's family name
 
Select Option
Before 06/05/2021
Before 06/05/2021
After 06/05/2021
Live Webinar Registration Fee: € 300 + VAT 22%
€ 366,00
€ 366,00
€ 366,00
 
 
Payment Mode

Bank Transfer:
Owner : MI&T SRL
IT71I0638502403100000004376
Swift Code/Bic Code IBSPIT2BXXX
Description:

 
Amout to pay: