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PICS-IPC ISTANBUL 2026
Registration Form
Name - Surname
*
Name
Surname
ID Number/Passport Number
We need for Sending QR Code to Access your badge at Registration Desk. You may write Passport ID
Email
*
Phone Number
*
-
Country Code
-
Code
Number
Institution / Company
*
Address
*
Address 1
Address 2
City/Province
State
Zip / Postal Code
Registration Type
Registration Type
*
Please Choose
Physician
Assistant
Fellows, Nurses, Technicians or Students
Industrial Representatives
Abstract Presenter
Member of PEDKAR Physician
Member of PEDKAR Fellows, Nurses, Technicians or Student
Please choose your registration type and unit below
Ürünler
*
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Member Physician
€
900.00
Quantity
1
2
3
4
5
6
7
8
9
Item subtotal:
€
0.00
PEDKAR Member
€
450.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
€
0.00
Assistant
€
450.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
€
0.00
Fellows, Nurses, Technicians or Students
€
400.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
€
0.00
Industrial Representatives
€
900.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
€
0.00
Abstract Presenter
€
450.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
€
0.00
Member of PEDKAR Fellows, Nurses, Technicians or Student
€
250.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
€
0.00
Tam Ad
Kredi Kartı Numarası
Expiration Date
Güvenlik Kodu
Email
Billing Address
Adres Satırı 1
Adres Satırı 2
İlçe
İl / Eyalet
Posta Kodu
Please Select
Austria
Belgium
Finland
Germany
Netherlands
Ülke
Email
Billing Address
Adres Satırı 1
Adres Satırı 2
İlçe
İl / Eyalet
Posta Kodu
Please Select
Austria
Belgium
Finland
Germany
Netherlands
Ülke
Email
Billing Address
Adres Satırı 1
Adres Satırı 2
İlçe
İl / Eyalet
Posta Kodu
Please Select
Austria
Denmark
Finland
Germany
Ireland
Netherlands
Norway
Sweden
Switzerland
United Kingdom
Ülke
Email
Billing Address
Adres Satırı 1
Adres Satırı 2
İlçe
İl / Eyalet
Posta Kodu
Please Select
Netherlands
Ülke
Klarna: Slice it requires a minimum payment amount for these countries:
Germany:
€ 45,
Finland and Australia:
€ 100
Email
Billing Address
Adres Satırı 1
Adres Satırı 2
İlçe
İl / Eyalet
Posta Kodu
Please Select
Austria
Finland
Germany
Ülke
Email
Billing Address
Adres Satırı 1
Adres Satırı 2
İlçe
İl / Eyalet
Posta Kodu
Please Select
Belgium
France
Ülke
Email
Billing Address
Adres Satırı 1
Adres Satırı 2
İlçe
İl / Eyalet
Posta Kodu
Please Select
Germany
Austria
Sweden
Netherlands
France
Ülke
Please Additional Type Name and Surnames
Signature
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