Webinar ESVCP-ECVCP 2021

13-16 October 2021, France

Online registration

Guest online registration

Chairman online registration

Sponsor online registration

Speaker online registration

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Contact details for correspondence and list of participants

Honorific

Pr Dr

Title*

Mr Ms

First name *

(e.g. Louis)

Last name *

(e.g. Pasteur)

Position

Company / Institute *

Department

Professional address *

Post code *

Town *

Country *

Office phone *

Mobile phone

(will not appear in the list of participants)

E-mail*

(if different)

2021 ESVCP-ECVCP online annual Congress registration 13 to 16 October 2021 Registration type*

Standard:{{montantDroitsSandardWebinar() | amount}} Student/Resident:{{montantDroitsStudentWebinar() | amount}}

2021 ESVCP-ECVCP online annual Congress registration 13 to 16 October 2021

ESVCP-ECVCP 2021 will be held online. You will be able to join the congress from wherever you are.

Guest Speaker Chairman Sponsor registration include:

participation in all scientific sessions,
Congress abstract book,
ePosters.

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codeInscription : {{codeInscription()}}
montantDroitsWebi : {{montantDroitsWebi()}}

Only for students under 30.

A student status proof for 2021-2022 must be provided to Alpha Visa Congrès before the meeting by e-mail to {{congresEmail}}.

ESVCP-ECVCP 2021 will be held online. You will be able to join the congress from wherever you are.

Registration fees include:

participation in all scientific sessions,
Congress abstract book,
ePosters.

Payment

Amount to be paid: {{montantTotal() && (montantTotal() | amount) || '-----'}}

Payment by *

Credit card (secured payment) Bank cheque Bank tranfer Purchase order (allowed only for French institutions)

When making your bank transfer, please indicate the reference: "{{congresNom}} {{data.prenom}} {{data.nom}}".

IBAN code: FR76 1350 6100 0062 1508 6300 032 - BIC code: AGRIFRPP835

Please indicate the reference: "{{congresNom}} {{data.prenom}} {{data.nom}}" on the purchase order
and send it:

by email to {{congresEmail}},
or by regular mail to:
Alpha Visa Congrès / {{congresNom}}
624 rue des Grèzes
34070 Montpellier
FRANCE

Invoice address *

To the above-mentioned address To a different address

Invoice address

Company / Institution *

Department

Address *

Post code *

Town *

Country

Intracommunity VAT number

(Your company’s intracommunity VAT number)

Comments

I have read and fully accept the payment & cancellation conditions.*

* Required fields

You have a right of access and rectification to your personal data by contacting: Alpha Visa Congrès / {{congresNom}} - 624 rue des Grèzes, 34070 Montpellier - France - {{congresEmail}}

Thank you for registering.

Your reservation number: {{id}}.

An automatic confirmation has been sent by email.

Best regards

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