REGISTRATION

Hybrid Imaging in Oncology
December 14-15, 2017

Vienna / Austria

 

    Personal Information

    Academic title(s)

    *First name

    *Last name

    *Gender

    FemaleMale

    *Date of birth

       e.g. 1976-04-21

    *Nationality

    *Profession 1

    Profession 2

    Contact Address

    Hospital

    Institution

    Department

    *Street

    *ZIP

    *City

    *Country

    *Telephone

    *E-mail address

    *Retype e-mail address

    If you require the invoice to be issued to a different address, please indicate the address in the comment field further below.

    Registration Fees

    Early fee

    Late fee

    Non-Members

    EUR 400

    EUR 450

    ESHI Members

    EUR 300

    EUR 350

    ESHI Members in Training

    EUR 200

    EUR 250

    Early fees apply to registrations sent until November 05, 2017. After this date, the late fee applies.

    Every fee includes lectures and workshop attendance, teaching material for the course, coffee breaks and lunch as per programme.

    All registration fees are excluding VAT and no VAT will be charged.

    Select your Registration Type

    When making your bookings, please make sure that you will be able to stay for the entire course.

    Special entry regulations/visa requirements may apply for certain countries. ESHI will provide a letter of invitation which the participant needs to present at the local embassy of the relevant country.

    Participants are responsible for their travel and hotel arrangements.

    Non-Member

    ESHI Member
    Please indicate your ESHI Personal ID:

    ESHI Member in Training
    Please indicate your ESHI Personal ID:

    Please upload a proof of training document
    or send it to office@eshi-society.org within 10 days.

    Optional Site Visit

    I would like to participate in the optional site visit at the Medical University Vienna - PET/CT, SPECT/CT, PET/MR: Thursday, December 14, 2017 - 09:00-12:00 (There will be 3 tours à 45 minutes. Places are limited!)
    9:00-9:4510:00-10:4511:00-11:45

    Terms of Cancellation



    By the course organiser: If less than 30 participants register, ESHI reserves the right to cancel the course at the latest 4 weeks prior its beginning. Registration fees will be refunded in full.

    By the participant: No refund from ESHI is possible in the event of cancellation or no-show by the participant.

    Terms and Conditions


    Please read and accept the Terms and Conditions in order to submit your registration:

    I read and herewith accept the terms and conditions of ESHI

    Comment




    Submit your Registration