Please complete all required fields * to submit your registration.
Date of birth *
Place of work *
Please indicate all details as they shall appear on your name badge and certificate of attendance.
Invoice address / Confirmation of payment
Please only complete these fields if the address on your invoice / confirmation of payment shall differ from the above.
Address line 1
Address line 2
Address line 3
Address line 4
Address line 5
You are responsible to choose the appropriate registration fee according to your ESOI membership status, professional status and age. Should you choose a registration category that you are not eligible for, ESOI reserves the right to adjust it accordingly.
Early registration *
Non Member: 750,00 €
ESOI Member (Full / Allied Sciences): 450,00 €
Non Member reduced (resident in training & under 36): 390,00 €
ESOI Member reduced (resident in training & under 36): 320,00 €
Residents in training under 36
Residents below the age of 36 will only benefit from the reduced registration fee once they send their proof of residency and passport / ID copy. If this confirmation is not sent to the ESOI office (firstname.lastname@example.org) within 5 days after completing the workshop registration, the registration fee will be automatically adjusted to the regular fee.
Registration fee includes
- Access to all lectures
- Participation in all workshops
- RECIST qualification test
- RECIST certificate in case one has passed the test
- Certificate of attendance (incl. CME credits)
- Syllabus containing all lectures (to be provided AFTER the workshop)
- Coffee breaks
- Lunch breaks
- Welcome reception
Payment method *
Credit card (Mastercard or Visa - no pre-paid credit / debit cards)
Bank transfer (to be made within 5 days after receiving the invoice)
Credit card payment
Credit card number
Expiry date (MM/YYYY)
Card holder’s name
You will receive an invoice which will be due within 5 days of its receipt.
In order to benefit from the early registration fee, the full registration fee must be received on the ESOI Bank account by July 31, 2019 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 July 31, 2019 will be refunded less 50,00 € administrative charge. Cancellation requests received after July 31, 2019 will not result in any refund of the paid registration fee.
Name changes will be treated like the cancellation of one registration and the new registration of another participant.
Cancellations have to sent in written form via email to the ESOI Office at email@example.com.
I hereby accept the cancellation policy. *
I agree to receive ESOI news, newsletters and information about scientific/educational events and product developments related to the field of oncologic imaging. *
I agree that my personal data compromising of my full name, profession, city, country and email address are passed on to the sponsors and partners of this workshop for the purpose of providing commerical and scientific information related to the field of oncologic imaging. *
Photography and filming
We would like to inform you that pictures and videos may be taken during the workshop. Some of these photographs and videos may be used for promotional purposes.
We recommend to inform yourself about feasible travel / health insurance.
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ESOI/EORTC Workshop firstname.lastname@example.org
ESOI/EORTC Workshop 2019ESOI/EORTC Workshop 20190.00EUR
Hotel ExcelsiorHotel ExcelsiorUl. Frana Supila 12 20000 Dubrovnik Croatia
The organiser of this event is using the participant registration tool aanmelder.nl.
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