TIPS AND TRICKS IN CONGENITAL AND STRUCTURAL INTERVENTIONS 2014, 4^ ed. Bergamo, 11 and 12 september 2014 REGISTRATION FORM Full name Address Place and date of birth Business address Position Email Phone contact Invoicing address VAT n or Tax code To be sent to [email protected] or by fax to 0039 010 8936269 H2O srl • Sede legale/Sede operativa: via Dante 2/142 Palazzo della Borsa • 16121 • Genova • PI/CF 01947740997 • tel. +39 010 8936258 • fax. +39 010 8936269 • www.h2osrl.org • [email protected] GUIDELINES FOR TIPS AND TRICKS 2014 REGISTRATION 1. Registration for the Congress is handled by H2O directly and the request shall be present by email [email protected] or by fax +390108936269 using the registration form available on the website. Registration form submitted without complete data of the participant will not be processed. 2. The participant's registration shall not become effective prior to H2O having received the full registration fee due. 3. The registration fee is € 250,00 (VAT included) and includes access during the scintific session and exhibition, lunch, coffee break, congress material, CME credits, certificate of attendance. Payment of the registration fee can be effected only by bank transfer, any bank charges incurred are to be paid by the participant. BANK DETAILS Bank name: BNL - GRUPPO BNL PARIBAS Local agency: AG. n. 1 Genoa Currency code: EURO BIC/SWIFT code: BNLIITRR IBAN code: IT32E0100501401000000017902 Beneficiary: H2O srl 4. After the payment, the recipient will receive a confirmation of the registration by email upon completion of the registration as well as the invoice for the registration fee will be sent by email. 5. H2O will not provide refunds after a cancellation of registration. 6. Personal data will be used for Congress purpose only. H2O srl • Sede legale/Sede operativa: via Dante 2/142 Palazzo della Borsa • 16121 • Genova • PI/CF 01947740997 • tel. +39 010 8936258 • fax. +39 010 8936269 • www.h2osrl.org • [email protected]
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