TIPS AND TRICKS IN CONGENITAL AND - ASST-PG23

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]