Registration for the 2023 Sarcoidosis Conference - Symposium Eventi

'S SECOND NATIONAL CONGRESS ON THE DIAGNOSIS AND TREATMENT OF SARCOIDOSIS

MULTIDISCIPLINARY PARADIGMS IN RESEARCH, DIAGNOSIS, AND TREATMENT

Main Hall of the Rectorate Building, Siena May 26-27, 2023

From May 20, it is possible to register for the Congress and pay the fee directly at the congress venue on May 26-27, 2023. Thank you.

Name and Surname *

Name

Surname

Date of birth *

Place of birth *

City

Citizenship *

Tax code*

Email *

Email

Email confirmation

Phone number *

Address *

Address (line 1)

City

State / Province / Region

Postal code

Country

Professional qualification*

Specialized in*

VAT 22% INCLUDED

CHOOSE THE BEST OPTION FOR YOU *

DOCTOR
MEDICAL RESIDENT, RESEARCH DOCTORAL STUDENT, FELLOW, OTHER PROFESSION
ACSI MEMBER - PHYSICIAN
ACSI MEMBER, NON-MEDICAL

TODAY'S DATE *

August 10, 2026

SOCIAL DINNER MAY 26, 2023 *

Yes
No

The Social Dinner is for a limited number of people and costs €80.00 (including VAT) per person, payable by May 7, 2023.

Number of people

ECM
Please note that in order to obtain ECM credits, it is mandatory to participate in 100% of the training activities and to answer at least 75% of the questions in the learning questionnaire correctly.

CME REQUEST *

Yes
No

PROFESSIONAL CLASSIFICATION*

Employee
Affiliated
Freelance

CONFERENCE REGISTRATION INCLUDES
- Participation in scientific sessions
- Conference kit
- Coffee breaks and lunch as per program
- Certificate of participation
- Acquisition of ECM credits for all professional categories and disciplines

PAYMENT BY: *

Bank transfer
Credit/debit card

Payable to:
SYMPOSIUM SRL
BANCA DI BOLOGNA Headquarters
IBAN: IT 70 J 08883 02401 016000161206
BIC: CCRTIT2TBDB
REASON FOR PAYMENT: Registration (First name Last name) SECOND NATIONAL CONGRESS ON THE DIAGNOSIS AND TREATMENT OF SARCOIDOSIS 2023

Enter your card details

Paper

Name of the cardholder

Total

0,00 €

BILLING DETAILS

DO YOU WANT THE BILL? *

Yes
No

Are the billing details the ones already entered? *

Yes
No

Company name (name if natural person) *

Billing address *

Address (line 1)

City

State / Province / Region

Postal code

Country

VAT number/Tax code *

Unique code

Email

Are the billing details for a public entity? *

Yes
No

INFORMATION:
The system will send an email confirming your registration, which will be considered valid upon payment of the registration fee.

PRIVACY:

DATA PROCESSING *

Pursuant to Articles 13 and 23 of Legislative Decree No. 196/2003, by signing this form you give your consent to the processing of the personal data provided following the submitted report.

I wish to be added to the mailing list to receive updates on future events and conferences related to my profession from Symposium Eventi Srl

ORGANIZING SECRETARIAT

Symposium srl Via delle Tovaglie 12, 40124 Bologna (BO) Tel. +39 051 6448110
Email: segreteria@symposium-eventi.it - www.symposium-eventi.it

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