Registration Form

National Insurance Number/Personal ID (optional field)

Last Name*

First Name*

Email*

International country code and Mobile phone (i.e. 0039 3347596431)*

Country/Region*

City*

Degree*

Specialization*

Place and date of birth* (ie. City dd/mm/yyyy)

CME Credits* YESNO

Billing Address

Full Name* (First name and Last Name)

VAT number (optional field)

Address* (Street, City and Postal/Zip Code)

Address Line 2 (optional field)

Note and dietary requirements:

Terms of payment

Registration Rate*


Bank Name: Banca Carige Italia
Branch/Bank address: Via del Pigneto 12 - 00176 Roma (RM)
Account Name: MORE COMUNICAZIONE S.r.l
Account Number: 000000617680
IBAN: IT81N0617503273000000617680
Swift or BIC: CRGEITGG

Payment description: please include your full name and “Frontiers of Radiosurgery”.
Please, send payment copy by e-mail at amministrazione@morecomunicazione.it

Privacy

All data released will be collected and processed - in manual and IT mode - in compliance with 2016/679 GDPR for the eventual sending of informative material related to this conference. The data will not be disclosed to external subjects, with the exception of banks, correspondence companies, companies appointed by us for the management of services, the scientific secretariat and/or the organizing committee of the conference and eventually with Agenas due to the CME.
All data collected will be shared with the RSS Scientific Secretariat as Data Manager and managed outside EU. The Data Controller ensures from now on that the data will be transferred outside EU in compliance with the applicable law, subject to the stipulation of the standard contractual clauses envisaged by the European Commission.
For more details, please read our privacy policy.

I accept

To allow marketing activities about our events, CME events and medical courses about Neuroscience we thank to provide a separate consent.
It is your right to request the updating or cancellation of your data, or to oppose their use by writing to the responsible and data controller: MORE COMUNICAZIONE SRL, Via Cernaia 35, 00185 Rome, info@morecomunicazione.it

Only with your prior authorization, the Data Controller may use audio-video or photographic material, which can be acquired directly from appointed technicians and / or in streaming mode, in which you appear represented or otherwise recognizable. To allow these activities we thank to provide a separate consent.
It is your right to request the updating or cancellation of your data, or to oppose their use by writing to the responsible and data controller: MORE COMUNICAZIONE SRL, Via Cernaia 35, 00185 Rome, info@morecomunicazione.it

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