ESOI Summer Workshop 2017
Imaging of head and neck cancer
a multimodality approach
September 14-15, 2017
click here for the detailed programme
Please complete the following online form to register for the workshop.
* required fields
Date of birth *
(until September 13, 2017) *
Non Member: 450,00€
ESOI Member: 340,00€
Resident Non Member: 360,00€
Resident ESOI Member: 230,00€
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 (month/year)
Card holder’s name
Bank account information
In case you prefer to balance the selcted 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 Summer Workshop 2017 on transfer documents for identification. Kindly note that you are responsible for any bank charges that may occur..
Kindly note that ESOI reserves the right to cancel the workshop at the latest 7 weeks prior to its beginning. Please keep this in mind for your travel arrangements.
Cancellation requests from participants received until July 04, 2017 will be refunded less 25,00 € administrative charge. Cancellation requests received after July 04, 2017 will not result in any refund of the registration fee paid.
Please send your cancellation request in written form via email to the ESOI office:
I hereby accept the cancellation policy. *
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ESOI Summer Workshop 2017 ESOI Summer Workshop 2017 0.00
Universitätsklinikum ErlangenUniversitätsklinikum ErlangenUlmenweg 18
ESOI Office | Neutorgasse 9/2, 1010 Vienna, Austria | www.esoi-society.org | email@example.com | +43 1 5334064-39