ESOI/ESMO COURSE 2018
A multidisciplinary approach to colorectal cancer and gastrointestinal stromal tumour imaging
August 30-31, 2018
Please complete the following online form to register for the course.
* required fields
Date of birth *
Are you currently in training?
Place of work *
(until June 29, 2018) *
Non Member: 395,00 €
ESOI Member (Full/Associate): 280,00 €
ESMO Member (Medical Doctor): 280,00 €
Non Member reduced (Resident): 300,00 €
ESOI Member reduced (Resident): 210,00 €
ESMO Member reduced (Pharmacist, Scientist etc): 210,00 €
ESMO Member under 40 and in training: 65,00 €
Food diet / allergies (please specify in detail if applicable)
Registration fee includes
- Access to all lectures
- Participation in all workshops
- Certificate of attendance
- Syllabus containing all lectures
- Lunch on day 1
- Coffee Breaks
- Welcome Reception
Residents will only benefit from reduced registration fees once they send their proof of residency to the ESOI Office at email@example.com. If this confirmation is not received, the registration fee will be automatically adjusted to the regular fee.
Credit Card (Master or Visa card only - no pre-paid credit cards)
Credit card payment
I herewith authorise ESOI to charge my credit card with the above selected registration fee.
Credit card number
Expiry date (MM/YYYY)
Card holder’s name
Bank account information
In case you prefer to balance the selected registration fee via bank transfer, please use the following account details:
Account holder: ESOI European Society of Oncologic Imaging
Bank name: Die Erste Bank
Account number: 29738427700
Bank code: 20111
IBAN: AT26 2011 1297 3842 7700
Please indicate your full name as well as "ESOI/ESMO 2018" on transfer documents for identification. Kindly note that you are responsible for any bank charges that may occur.
In order to benefit from the early registration fee, the full registration fee must be received on the ESOI Bank account by June 29, 2018 the latest. Your registration will be considered as incomplete and adjusted accordingly if the payment is not received by the relevant deadline.
Cancellation requests from participants received until June 29, 2018 will be refunded less 50,00 € administrative charge. Cancellation requests received after June 29, 2018 will not result in any refund of the registration fee paid.
Name changes will be treated like the cancellation of one registration and the new registration of another participant.
Please send your cancellation request in written form via email to Ms. Elisabeth Schlessmann from the ESOI Office: firstname.lastname@example.org
I hereby accept the cancellation policy. *
Some required fields have not been filled out ().
ESOI/ESMO Course 2018 email@example.com
ESOI/ESMO Course 2018 ESOI/ESMO Course 2018 0.00
Universitätsklinikum ErlangenUniversitätsklinikum ErlangenUlmenweg 18
The organiser of this event is using the participant registration tool aanmelder.nl.
Do you want more information about aanmelder.nl?
ESOI Office | Neutorgasse 9/2, 1010 Vienna, Austria | www.esoi-society.org | firstname.lastname@example.org | +43 1 5334064-39