ER Congressi

Individual registration

ISA Virtual Seminars

from 10-13-2021

to 04-04-2022

Step 1

Your data

Email*

Step 2

Personal data

Name*

Surname*

Phone number please specify the country code

Address*

Zip code*

Nation*

City*

Province*

Birth date*

Birth place

Fiscal code (only for italian attendees)*

Career*

Discipline*

Institute

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.

Are you interested in obtaining CME credits?

Yes

Step 4

Registration fees (VAT included)

ISA Virtual Seminars - Subscribe to all 3 packages

ISA member (package of three seminars) € 0

Non-member (package of three seminars) € 99

I want to enroll for single event

Subscribe only to ISA No. 1: AL Amyloidosis Treatment including ASCT for AL Amyloidosis: EHA-ISA Workshop on 10-13-2021

I don't want to entroll for this event

ISA member: Single seminar (SEMINAR No. 1 - October 2021) € 0

Non-member: Single seminar (SEMINAR No. 1 - October 2021) € 40

Subscribe only to ISA No. 2: Diagnosis of Amyloidosis on 12-02-2021

I don't want to entroll for this event

Non-member: Single seminar (SEMINAR No. 2 - December 2021) € 40

ISA member: Single seminar (SEMINAR No. 2 - December 2021) € 0

Subscribe only to ISA No. 3: ATTR Amyloidosis: Treatment, Management and Future Direction on 04-04-2022

I don't want to entroll for this event

ISA member: Single seminar (SEMINAR No. 3-February 2022) € 0

Non-member: Single seminar (SEMINAR No. 3-February 2022 € 40

I would like to receive the invoice addressed to:

Company details

Company / Individual name*

Email PEC/CDU*

Vat/Tax ID*

Fiscal code (only for italian attendees)*

Address*

Zip code*

City*

Province*

Nation*

Payment method

Credit card

Bank transfer

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