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tr390 Online Registration

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* family name

* first name

* hospital, institute, company

department

* street, number

p.o.box

* postal code, zip code

* city

state, county (where applicable)

* country

telephone business

telephone home

fax

* email

* Please register me

Active Participant
€ 400
WG** Member Active Participant
€ 360
Stud/Phys in Training
€ 180
Technician
€ 180
WG** Member Stud/Phys in Training/Technician
€ 160

** WG refers to current membership in the WORKING GROUP on CARDIOVASCULAR MAGNETIC RESONANCE of the EUROPEAN SOCIETY of CARDIOLOGY (see WG Website for membership application: www.escardio.org )


* Payment Options

I will pay by bank transfer
(receipt will be sent by email to confirm the payment)
I will pay at the reception desk
(cash only, no credit cards)
I want to pay online by credit card
(You will be taken to the secure checkout after pressing the 'Register'-button).

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(* required fields)

* I accept the Terms & Conditions

 

   
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