17th ESC Congress till 30 April

Registration form - 17th ESC Congress, 1-4 May 2024, Bilbao, Spain

* Mandatory fields

Event Name

Event Date

First Name

Last Name

Institute

Department

Street

Numberyour full name

Postal code

City

Country

Email address (receipt confirmation)

Email address participant (if different from above)

Are you an ESC member at this moment?

YesNo

Complete your invoice address here, only in case you would like to receive an invoice.

First Name Invoice

Last Name Invoice

Company Invoice

Department Invoice

Street Invoice

Number Invoice

Postal Code Invoice

City Invoice

Country Invoice

VAT Number Invoice

Invoice remarks

Email address where to send the invoicea valid email

Safety & cancellation policy

I accept the safety & cancellation policy

Cancellation policy.

All refunds will incur a 20% handling fee. No refunds will be made after 1 March 2024. However, another delegate may be nominated as a replacement, up to two weeks before the Congress. Cancellation must be in writing (by email) to the Congress Secretariat. The date of the email will be used when considering a refund. All refunds will be made after the Congress. Participants should state the bank details to which refunds should be made.

Correspondence

You will automatically receive congress and society updates.

You would like to receive the following newsletters

Third party correspondence (non-commercial)Third party correspondence (companies)

Third party correspondence (non-commercial) might be information from other societies in the field, partner organisations, interesting publications, journal related information...

Confirmation

Upon receipt of the registration form, a confirmation will be sent. Once registered, registrations cannot be changed to another fee category. If for some reason this email does not reach you, please contact the ESC Central Office (charlotte@orga-med.com).

Payment

You will be sent to the payment provider when clicking on the "Pay and submit your registration" button.

We keep a record of your personal data so that we can provide you with a better service. We treat your personal data with the necessary confidentiality. More information can be found in our privacy policy.