ESPR 2019 Helsinki Congress

This order form is provided via aanmelder, offering a secure (https) website for transmission of your data to the ESPR Office. Detailed information is available on the congress website: https://www.espr2019.org/registration/

Personal Information

Title(s)

Mr. / Ms. *

Mr.

Ms.

First name *

Last name *

Country *

Postal code *

City *

Address *

Email address *

Confirm email *

Invoice address
(personal address details will be used for your invoice unless the following fields (company details/VAT) are indicated.

Company name
(if applicable)

Company address
(if applicable)

VAT number
(if applicable)

Registration tickets (late fee until May 13)

Post Graduate & Radiographer Course

Annual Meeting

Combined Registration

Annual Dinner is sold out

Please let us know any dietry restrictions per ticket chosen

Payment

Payment method *

Bank transfer

Creditcard

Credit card payment

CC holders name

Credit card number

Expiry date (mm/yyyy)

CVV2 code (3 digits on the back of your cc)

Terms & Conditions

I have read and herewith accept the terms & conditions and cancellation policy: *

(download terms)

Comments:

congress registration

ESPR 2019 Helsinki Congress

ESPR 2019 Helsinki Congress

ESPR 2019 Helsinki Congress

aanmelder.nl is event registration made easy