ESTI LCS Workshop March 2020

REGISTRATION INFORMATION
Registration for the ESTI LCS Workshop in March 2020 is to be made electronically. Registration forms without full name, complete email address, postal address and date of birth cannot be processed. To be eligible to register for the ESTI LCS Workshop, participants must be at least 18 years old. All time specifications within the ESTI registration process refer to CET (central european time).
Each participant can only attend one workshop.

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)

Mr. / Ms. *

Title

First name *

Last name *

Email address *

Confirm email *

Country *

Postal code *

City *

Address *

LCS WORKSHOP REGISTRATION

Please choose the preferred workshop slot *

LCS Workshop 1 (09:00-12:00), 150.00 EUR

PAYMENT METHOD

Payment *

Credit card (Visa or Mastercard)

Bank Transfer

Credit Card
I herewith authorise ESTI to charge my credit card with the above indicated registration fee.

Visa

Mastercard

Card holder's name

Credit card number

Expiry date (mm/yyyy)

CVV2 code (three numbers a the back of your cc)

Bank Account Information
In case you prefer to balance the full registration fee as indicated above via bank transfer, please find the necessary details below:

ESTI Bank Account:
Account holder: European Society of Thoracic Imaging - ESTI
Bank Name: Erste Bank
IBAN: AT442011128834493300
BIC: GIBAATWWXXX
Account Number: 28834493300
Bank Code: 20111

Please indicate your full name as well as "ESTI LCS Workshop March 2020" on transfer documents for identification. Kindly note that you are responsible for any bank charges that might apply.

TERMS & CONDITIONS / CANCELLATION POLICY
Please read and accept the terms and conditions as well as the cancellation policy. *

I accept the Terms and Conditions

I accept the Cancellation Policy

workshop registration

ESTI LCS Workshop March 2020

ESTI LCS Workshop March 2020

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