FEMMS2024

Participant Registration Form
Codice Fiscale (ID code / Tax code)
Name*
Surname*
Email*

Confirmation Emailesempio@esempio.com
Phone number (with Country Code)*

Prefixcountry codenumber
Address*

Street

CityProvince

Zip codeState
General information

city of birth

Provincia di nascita

province of birth

Codice Postalestate of birth
Date of birth

AnnoMeseGiorno
Data
Do you intend to present a poster (Deadline 31th May)*

YesNo
Subscription and booking

Congress Venue: Four Points by Sheraton Catania Hotel & Conference Center (Aci Castello)
If you want to pay by wire transfer, use ‘bonifico100’ coupon code

* From September 1st, it won't be possible to refunds cancellations

I Miei Prodotti

Regular

Includes: access to the conference room, lunches, dinners gala dinner, and excursion. Early July 21th, then €800

€800.00

For accompanying persons

includes lunches, dinners, gala dinner, and excursion. Early July 21th, then €550

€550.00 nr.

Double single use room

In Sept 29th - Out Oct 4th, Congress Venue: Four Points by Sheraton Catania Hotel & Conference Center (Aci Castello), city tax is not included

€700.00

Double room

In Sept 29th - Out Oct 4th, Congress Venue: Four Points by Sheraton Catania Hotel & Conference Center (Aci Castello), city tax is not included

€800.00

Booking (In Sept 29th - Out Oct 4th)

Congress Venue: Four Points by Sheraton Catania Hotel & Conference Center (Aci Castello)

€575.00

Enter coupon

Total

€0.00

loading smart payment buttons...

If you are a student, upload your student card

Cancelof
Accompanying person name (one for row)
Dietary restriction/Allergies/Notes
In order to collect data in a complete way it will be possible to register one at a time.
If you wish to register again, you will need to fill out another registration form.

Once the abstract has been transmitted, you will receive and email link through which you will be able to modify your abstract until deadline.

For further information, please contact the secretariat at the following email address: info@medeatour.it
Billing information
Do you want to fill in your billing information?

YesNo, use the general data above
Do you want separate billing for companion?

YesNo
Company name / Personal name
Address
Enter Street, nr., city, postal code
VAT number / tax code
PEC / REM
Codice Univoco (per l'italia) (only for Italy)
Info Privacy
I authorize the processing of my personal data pursuant to art. 13 Legislative Decree 196/2003 - code regarding the protection of personal data and art. 13 GDPR 679/16 - European Regulation on the protection of personal data - for organizational purposes and direct marketing activities, such as sending advertising material and communications with informative and/or promotional content relating to the organization of events. The data owner is MEDEATOUR SRL
Acceptance*

Yes, I authorize the processing of my data
Should be Empty:

Participant Registration Form