Please register here to participate at the ESOI Spring Workshop 2015.
This order form is provided via aanmelder, offering a secure (https) website for transmission of your data to the ESOI Office.
Kindly note that the ESOI Workshop is limited to 30 people, thus we recommend early registration!
* required fields
Date of Birth *
Retype email *
Workshop Registration *
Regular Non-Member: € 380,00
Regular ESOI Member: € 300,00
Resident Non-Member: € 300,00
Resident ESOI-Member: € 200,00
Credit card payment
I herewith authorise ESOI to charge my credit card with the above indicated registration fee.
Credit card number
Expiry date (MM/YYYY)
Card holder’s name
Bank transfer payment
In case you prefer to balance the full registration fee as indicated above via bank transfer, please find the necessary details below:
Account holder: ESOI European Society of Oncologic Imaging
Bank name: Die Erste Bank
Please indicate your full name as well as "ESOI Spring Workshop" on transfer documents. Kindly note that you are responsible for any bank charges that might apply.
Kindly note: If less than 20 participants register, ESOI reserves the right to cancel the workshop at the latest 4 weeks prior to its beginning. Please keep this in mind for your travel arrangements.
I accept the ESOI 2015 Terms and Conditions. *
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ESOI Spring Workshop firstname.lastname@example.org
ESOI Spring Workshop 2015ESOI Spring Workshop 20150.00
ESR Learning CentreESR Learning CentrePaseo de Gracia, 86
The organiser of this event is using the participant registration tool aanmelder.nl.
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