C3 Meeting 2023 Application Form

Registration Form

From November 22th 2023, payment will only be possible by credit card.
Registration as*

Physician EUR 325.00Nurse /Technician / Residents EUR 90.00YS /CoT /CAS EUR 40.00Students (free)AGIK /ÖKG Member EUR 150.00DGTHG /ÖGHTG Member EUR 150.00Industry EUR 400.00Day registration EUR 140.00
Please upload your student ID*

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Please upload your member confirmation*

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Please upload your YS /CoT /CAS confirmation*

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Please upload your Nurse /Technician / Residents working confirmation*

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Workshop Session 1 (13:00 - 14:30h / CHF 25.00)*

WS 1: Structural HeartWS 2: Interventional Coronary TechnologiesWS 3: Surgical Heart ValveWS 3: Atrial FibrillationNo Workshop Participation
Workshop Session 1 (13:00 - 14:30h)*

WS 1: Structural HeartWS 2: Interventional Coronary TechnologiesWS 3: Surgical Heart ValveWS 3: Atrial FibrillationNo Workshop Participation
Workshop Session 2 (15:00 - 16:30h / CHF 25.00)*

WS 1: Structural HeartWS 2: Interventional Coronary TechnologiesWS 3: Surgical Heart ValveWS 3: Atrial FibrillationNo Workshop Participation
Workshop Session 1 (15:00 - 16:30h)*

WS 1: Structural HeartWS 2: Interventional Coronary TechnologiesWS 3: Surgical Heart ValveWS 3: Atrial FibrillationNo Workshop Participation
Workshop Session 1 (17:00 - 18:30h / CHF 25.00)*

WS 1: Structural HeartWS 2: Interventional Coronary TechnologiesWS 3: Surgical Heart ValveWS 3: Atrial FibrillationNo Workshop Participation
Workshop Session 1 (17:00 - 18:30h)*

WS 1: Structural HeartWS 2: Interventional Coronary TechnologiesWS 3: Surgical Heart ValveWS 3: Atrial FibrillationNo Workshop Participation
Title*
Name*

First NameLast Name
Hospital/Company
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Profession*
Years of Experience?*
Promo Code
Discount
Total Registration Fee
Payment must be received by 22th November 2023. Payment via bank transfer:

Account owner: Education Event Impact GmbH & Co KG, Hietzinger Hauptstraße 50 / Top 10, A-1130 Vienna, Austria
Bank: Oberbank 15021
IBAN: AT89 1502 1005 3119 4363

BIC: OBKLAT2L
VAT-ID.: ATU63190219
Reference: C3 Meeting 2023

We look forward to welcoming you to the C3 Meeting 2023.
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Registration Form