Registration form

Personal information

NameSurname

Fiscal code

If not applicable, please digit 000

Affiliation

Entity, Hospital, University

Contractual Form

Selezionare un'opzione tra le voci proposte

Field

Selezionare un'opzione tra le voci proposte

Please indicate if you have been recruited by a commercial company operating in the healthcare sector:

A healthcare professional is considered to be recruited if he/she benefits from direct and indirect economic and non-economic advantages from commercial companies operating in the healthcare field for participation in training events,

Please indicate the company

Contact information

E-mail addressPhone number

Special needs

Please indicate allergies, intolerances, special dietary needs or any other needs

Registration Fees

Whole course - Physician - Fee reserved to AIOCC, AIRO, AOLPI, AOOI, AUORL, SIAPEC, SIOeChCF, SICMF, SIRM members

Fee valid until 15th June 2026. From 16th June 280,00 €

€240.00

Whole course - Physician

Fee valid until 15th June 2026. From 16th June 350,00 €

€300.00

Whole course - Resident - Fee reserved to AIOCC, AIRO, AOLPI, AOOI, AUORL, SIAPEC, SIOeChCF, SICMF, SIRM members

Fee valid until 15th June 2026. From 16th June 200,00 €

€160.00

Whole course - Resident

Fee valid until 15th June 2026. From 16th June 250,00 €

€200.00

Single module - Physician - Fee reserved to AIOCC, AIRO, AOLPI, AOOI, AUORL, SIAPEC, SIOeChCF, SICMF, SIRM members

Fee valid until 15th June 2026. From 16th June 120,00 €

€96.00

Single module - Physician

Fee valid until 15th June 2026. From 16th June 150,00 €

€120.00

Single module - Resident - Fee reserved to AIOCC, AIRO, AOLPI, AOOI, AUORL, SIAPEC, SIOeChCF, SICMF, SIRM members

Fee valid until 15th June 2026. From 16th June 88,00 €

€64.00

Single module - Resident

Fee valid until 15th June 2026. From 16th June 110,00 €

€80.00

Two modules - Physician - Fee reserved to AIOCC, AIRO, AOLPI, AOOI, AUORL, SIAPEC, SIOeChCF, SICMF, SIRM members

Fee valid until 15th June 2026. From 16th June 200,00 €

€176.00

Two modules - Physician

Fee valid until 15th June 2026. From 16th June 250,00 €

€220.00

Two modules - Resident - Fee reserved to AIOCC, AIRO, AOLPI, AOOI, AUORL, SIAPEC, SIOeChCF, SICMF, SIRM members

Fee valid until 15th June 2026. From 16th June 160,00 €

€120.00

Two modules - Resident

Fee valid until 15th June 2026. From 16th June 200,00 €

€150.00

Total

Note

If chosen one or two modules, please indicate which ones you're interested in

Select the payment method:

Invoicing information

Header of the invoice

Fiscal address: street, town, postal code

Date and place of birthVAT number (if applicable)

Any notes

Registration Fees*

Registration Fees