5th Asynchronous Online Training Course on the Diagnosis and Treatment of Sarcoidosis
Developments and New Paradigms
July 1 – December 30, 2026
REGISTRATION FORM
Abilita JavaScript nel browser per completare questo modulo.
Name and Surname
*
Name
Surname
Date of birth
*
GG
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
MM
1
2
3
4
5
6
7
8
9
10
11
12
AAAA
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Place of birth
*
City
Citizenship
*
Tax ID number
*
Email
*
Email
Email confirmation
Phone number
*
Address
*
Address (line 1)
City
State / Province / Region
Postal code
Country
Afghanistan
Albania
Algeria
Andorra
Angola
Eel
Antarctica
Antigua and Barbuda
Saudi Arabia
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belgium
Belize
Benin
Bermuda
Bhutan
Belarus
Burma
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius, and Saba
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Chad
Chile
China
Cyprus
Colombia
Comoros
Congo
Congo (Democratic Republic of)
Costa Rica
Ivory Coast
Croatia
Cuba
Curaçao
Denmark
Dominica
Ecuador
Egypt
El Salvador
United Arab Emirates
Eritrea
Estonia
Ethiopia
Russian Federation
Fiji
Philippines
Finland
France
Gabon
Gambia
Georgia
South Georgia and the South Sandwich Islands
Germany
Ghana
Jamaica
Japan
Gibraltar
Djibouti
Jordan
Greece
Grenada
Greenland
Guadeloupe
Guam
Guatemala
Guernsey
French Guiana
Guinea
Equatorial Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Iceland
Bouvet Island
Isle of Man
Christmas Island
Saint Barthélemy Island
Aland Islands
Cayman Islands
Cocos Islands (Keeling Islands)
Cook Islands
Falkland Islands (Malvinas)
Faroe Islands
Heard Island and McDonald Islands
Northern Mariana Islands
Marshall Islands
Norfolk Islands
Saint Pierre and Miquelon Islands
Solomon Islands
Svalbard and Jan Mayen Islands
Turks and Caicos Islands
Virgin Islands (U.S.)
Virgin Islands (British)
Minor outlying islands of the United States of America
Israel
Italy
Kazakhstan
Kenya
Kyrgyzstan
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Lesotho
Latvia
Lebanon
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
North Macedonia (Republic of)
Madagascar
Jersey
Malawi
Maldives
Malaysia
Mali
Malta
Morocco
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Mozambique
Namibia
Nauru
Nepal
Nicaragua
Niger
Nigeria
Niue
Norway
New Caledonia
New Zealand
Oman
Netherlands
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Pitcairn
Poland
French Polynesia
Puerto Rico
Portugal
Qatar
United Kingdom of Great Britain and Northern Ireland
Syrian Arab Republic
Czech Republic
Central African Republic
Lao People's Democratic Republic
Dominican Republic
Reunion (Island of)
Romania
Rwanda
Western Sahara
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Saint Martin (French part)
Samoa
American Samoa
San Marino
Saint Helena, Ascension, and Tristan da Cunha
Saint Lucy
Sao Tome and Principe
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (part of the Netherlands)
Slovakia
Slovenia
Somalia
Spain
Sri Lanka
United States of America
Vatican City State
South Africa
Sudan
South Sudan
Suriname
Sweden
Switzerland
Tajikistan
Taiwan, Republic of China
Tanzania (United Republic of)
French Southern Territories
British Indian Ocean Territory
Thailand
East Timor
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Ukraine
Uganda
Hungary
Uruguay
Uzbekistan
Vanuatu
Venezuela (Bolivarian Republic of)
Vietnam
Wallis and Futuna
Yemen
Zambia
Zimbabwe
eSwatini (Kingdom of)
Country
Professional qualification
*
Specialized in
*
VAT 22% INCLUDED
ECM
Please note that to earn CME credits, you must attend at least 90% of the training sessions and answer at least 75% of the questions on the learning assessment correctly
CME Request
*
Yes
No
Professional Profile
*
Employee
Affiliated
Freelancer
RECRUITMENT
*
Yes
No
Pursuant to Article 80 of the S/R Agreement of February 2, 2017, a healthcare professional is considered to be “recruited” if, in exchange for participating in educational events, they receive direct or indirect financial or non-financial benefits from commercial companies operating in the healthcare sector.
Name of a business operating in the healthcare sector
*
Name of a business operating in the healthcare sector
*
The undersigned further declares that he has not fulfilled more than one-third of his training obligation through military service.
Fee payment can be made by:
*
Bank transfer (net of bank fees) payable to:
Credit/debit card (with an additional 3% commission)
3% commission
Price:
€2.70
SYMPOSIUM EVENTI
At: BANCA DI BOLOGNA Headquarters
IBAN: IT 39 N 08883 02401 016000163992
BIC: CCRTIT2TBDB
REASON FOR PAYMENT: Registration (First and Last Name) 5th SARCOIDOSIS DISTANCE LEARNING COURSE 2026
Enter your card information
*
Paper
Name of the cardholder
Total
0,00 €
BILLING DETAILS
Would you like an invoice?
*
Yes
No
Are the billing details the ones already entered?
*
Yes
No
Company name (Your name if the bill is for you)
*
Billing address
*
Address (line 1)
City
State / Province / Region
Postal code
Country
Afghanistan
Albania
Algeria
Andorra
Angola
Eel
Antarctica
Antigua and Barbuda
Saudi Arabia
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belgium
Belize
Benin
Bermuda
Bhutan
Belarus
Burma
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius, and Saba
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Chad
Chile
China
Cyprus
Colombia
Comoros
Congo
Congo (Democratic Republic of)
Costa Rica
Ivory Coast
Croatia
Cuba
Curaçao
Denmark
Dominica
Ecuador
Egypt
El Salvador
United Arab Emirates
Eritrea
Estonia
Ethiopia
Russian Federation
Fiji
Philippines
Finland
France
Gabon
Gambia
Georgia
South Georgia and the South Sandwich Islands
Germany
Ghana
Jamaica
Japan
Gibraltar
Djibouti
Jordan
Greece
Grenada
Greenland
Guadeloupe
Guam
Guatemala
Guernsey
French Guiana
Guinea
Equatorial Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Iceland
Bouvet Island
Isle of Man
Christmas Island
Saint Barthélemy Island
Aland Islands
Cayman Islands
Cocos Islands (Keeling Islands)
Cook Islands
Falkland Islands (Malvinas)
Faroe Islands
Heard Island and McDonald Islands
Northern Mariana Islands
Marshall Islands
Norfolk Islands
Saint Pierre and Miquelon Islands
Solomon Islands
Svalbard and Jan Mayen Islands
Turks and Caicos Islands
Virgin Islands (U.S.)
Virgin Islands (British)
Minor outlying islands of the United States of America
Israel
Italy
Kazakhstan
Kenya
Kyrgyzstan
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Lesotho
Latvia
Lebanon
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
North Macedonia (Republic of)
Madagascar
Jersey
Malawi
Maldives
Malaysia
Mali
Malta
Morocco
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Mozambique
Namibia
Nauru
Nepal
Nicaragua
Niger
Nigeria
Niue
Norway
New Caledonia
New Zealand
Oman
Netherlands
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Pitcairn
Poland
French Polynesia
Puerto Rico
Portugal
Qatar
United Kingdom of Great Britain and Northern Ireland
Syrian Arab Republic
Czech Republic
Central African Republic
Lao People's Democratic Republic
Dominican Republic
Reunion (Island of)
Romania
Rwanda
Western Sahara
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Saint Martin (French part)
Samoa
American Samoa
San Marino
Saint Helena, Ascension, and Tristan da Cunha
Saint Lucy
Sao Tome and Principe
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (part of the Netherlands)
Slovakia
Slovenia
Somalia
Spain
Sri Lanka
United States of America
Vatican City State
South Africa
Sudan
South Sudan
Suriname
Sweden
Switzerland
Tajikistan
Taiwan, Republic of China
Tanzania (United Republic of)
French Southern Territories
British Indian Ocean Territory
Thailand
East Timor
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Ukraine
Uganda
Hungary
Uruguay
Uzbekistan
Vanuatu
Venezuela (Bolivarian Republic of)
Vietnam
Wallis and Futuna
Yemen
Zambia
Zimbabwe
eSwatini (Kingdom of)
Country
VAT number/Tax code
*
Unique code
Email
Are the billing details for a public entity?
*
Yes
No
Privacy Notice:
The system will send a confirmation email regarding your registration, which will be considered valid upon payment of the registration fee.
Privacy Policy
PRIVACY POLICY
Data processing
*
In accordance with Regulation (EU) 2016/679 (General Data Protection Regulation – GDPR), by signing this form, you consent to the processing of the personal data provided in connection with the registration submitted*
I would like to be added to the mailing list to receive updates on future events and conferences related to my profession from Symposium srl.
Organizing Secretariat
Symposium Eventi
Via Barberia, 14
40123 Bologna
Tel. +39 051 6448110
Cell. +39 338 7479543
Send
