Please complete all required fields * to submit your registration to the course.
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
Young Radiologists' Session registration
Please indicate whether you will be attending this session.
Wednesday, June 19, 2019 *
Yes, I will attend the Young Radiologists' Special Session.
No, I will not attend the Young Radiologists' Special Session.
Please indicate which workshop(s) you would like to attend.
Friday, June 20, 2019 *
17:00-18:30 BREAST IMAGING: CHALLENGING CASES 1 + 2 (Interactive case reviews)
17:00-18:30 RECIST (Hands-on**)
I will not attend any of the above.
Saturday, June 21, 2019 *
13:30-14:30 LIVER (Interactive case review)
13:30-14:30 PROSTATE CANCER (Interactive case review)
13:30-14:30 VIRTUAL COLONOSCOPY: AN INTRODUCTION FOR BEGINNERS (Hands-on**)
15:00-16:00 CLINICAL STRUCTURED REPORTING
15:00-16:00 GYNAECOLOGICAL MRI (Interactive case review)
15:00-16:00 RESPONSE PATTERNS/PITFALLS ASSOCIATED WITH IMMUNE THERAPY (Interactive case review)
** Kindly note that only a limited number of participants can register for the hands-on workshops.
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: 540,00 €
ESOI Member (Full / Allied Sciences): 430,00 €
Non Member reduced (resident in training & under 36): 240,00 €
ESOI Member reduced (resident in training & under 36): 180,00 €
Lunch is not included in the registration fee and needs to be added at an extra cost of 90,00 €. There will be an extended buffet including various salads, starters, soups, main courses and desserts on all 3 days of the meeting (June 20, 21, 22). *
Yes, I want to add lunch to my registration at an extra cost of 90,00 €.
No, I do not want to add lunch to my registration and understand that it might not be possible to add this option afterwards.
Residents below 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 course registration, the registration fee will be automatically adjusted to the regular fee.
Registration fee includes
- Access to all lectures
- Participation in workshops
- Certificate of attendance
- Syllabus containing all lectures (to be provided AFTER the course)
- Coffee breaks
- Welcome reception
Payment method *
Credit card (Master 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 May 3, 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 May 3, 2019 will be refunded less 50,00 € administrative charge. Cancellation requests received after May 3, 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 OIC sponsors and partners 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 meeting. A photo gallery with all photos may be available to registered participants on the ESOI website. In addition, some photographs and videos taken during the meeting may be used for promotional purposes.
We recommend to inform yourself about feasible travel / health insurance.
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Oncologic Imaging Course firstname.lastname@example.org
Oncologic Imaging Course 2019Oncologic Imaging Course 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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