Webinar SCT 2021

9-10 December 2021, France

Online registration

Contact details for correspondence

Honorific

Pr Dr

Title*

Mr Ms

First name *

(e.g. Louis)

Last name *

(e.g. Pasteur)

Company / Institute *

Department

Professional address *

Post code *

Town *

Country *

Mobile phone

(will not appear in the list of participants)

E-mail*

SCT Symposium Webinar registration 9-10 December 2021

The Symposium will be held online.
You will be able to join the congress from wherever you are.

Registration fee: € 25

Registration include:

participation in all scientific sessions,
Congress abstract book.

I agree:

*With my information being collected and used by Alpha Visa Congrès to inform me about upcoming events

Yes No

*With my information being collected and shared with partners of the webinar.

Yes No

I agree to Livestorm's Terms of Service and the use of personal data as explained in Livestorm's Privacy Policy.*

Payment

Amount to be paid: € 25

Payment by *

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

Invoice address *

To the above-mentioned address To a different address

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 / Webinar SCT 2021 - 624 rue des Grèzes, 34070 Montpellier - France - sct@alphavisa.com