Individual Registration

Course Fees:

Fellows, Members and Diplomates of the Faculty: Early bird rate €900 until July 1st, €1000 thereafter.

Non-Fellows Members and Diplomates of the Faculty: Early bird rate €1000 until July 1st, €1100 thereafter.

Title *

First Name *

Last Name *

Organisation

Email *

Phone

City *

Country *

How did you hear about this course? *

If other, please specify

Cancellation Policy - Agreement *

Registrants withdrawing less than 30 days prior to the course will be charged a 50% cancellation fee. No refund will be granted for cancellations made less than 1 week prior to the course date. By ticking this box you are agreeing to our policy.

Fee Categories *

Coupon

Amount

€

Discount Amount

€

Gross amount

€

Payment Method

Credit Card

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*