Individual registration
5th EUROPEAN MYELOMA NETWORK MEETING
from 04-18-2024
to 04-20-2024

Step 1

Your data

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Step 2

Personal data

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please specify the country code
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Step 3

Sponsor

I, the undersigned, aware of the sanctions provided by the art. 76 of the Consolidated Law, D.P.R. 28712/2000 n. 445, and the forfeiture of benefits provided for by the art. 75 of the same Consolidated Law in the case of false statements, under my own responsibility, DECLARE

that I was not recruited by any company to attend this event

that I have been recruited by (Insert the name of the sponsor)

N.B. A healthcare professional is considered to be recruited when, for the participation in educational events, he/she benefits from economic and non-economic advantages, direct and indirect, by commercial companies operating in the healthcare field.

Ecm

Are you interested in obtaining CME credits?

Step 4

Registration fees (VAT included)

€ 500
€ 350
€ 300
€ 300
€ 250
€ 500
€ 0

Company details

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Payment method

Studio E.R. Congresssi
BANCA INTESA SANPAOLO SPA
VIA MARCONI, 51
40122 Bologna
Italy

SWIFT BIC Code: BCITITMM
IBAN CODE: IT82N0306902520100000005386
ACCOUNT NO. 100000005386

Payment amount
Finalizzando l’iscrizione, in piena conoscenza del decreto legge n. 196/2003 sul Trattamento dei dati Personali ed in particolare degli artt. 4, 13, 21, 23, 24, 27, 37, 43, 44, 45 e 137, autorizzo lo Studio E.R. Congressi srl, e acconsento, sino a revoca scritta da parte mia, al trattamento e alla comunicazione dei dati personali nei limiti della predetta legge e secondo le modalità contenute nell’informativa riportata nel programma. Rimane fermo che tale consenso è condizionato al rispetto delle disposizioni della vigente normativa.
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