Registration Form *Compulsory data
PROFESSIONAL DATA
First name* Family name*
Birth Date* Place of birth*
Hospital/Institution*
Department Role
Address* Town*
Country* Zip code*
State*
Phone* Fax*
E-MAIL
E-mail (main)* E-mail (secondary)
PERSONAL DATA
Private address* Town*
Country* Zip code*
State*
Phone Fax
Mobile Ph.*


I would like to register and receive update on the scientific program:

 yes    no
NOTES FOR ORGANIZING SECRETARIAT (not exceeding 600 characters):
 

N° characters:
 
 
PRIVACY
Consent statement to data processing (EU 679/2016 - GDPR)
I hereby authorize My Meeting S.r.l. to process my identifying and/or sensitive personal data in the ways and for the purposes indicated on the information sheet https://www.mymeetingsrl.com/privacy.php
I consent    I do not consent

I hereby authorize My Meeting S.r.l. to process my personal data for commercial and marketing purposes connected to this event and other similar CME events, as well as to send information on promotional activities, advertising material and commercial communications.
I consent    I do not consent

The data controller is My Meeting S.r.l., with its registered office in Via 1 Maggio n. 33/35 in Ozzano dell'Emilia, Bologna, Italy. My Meeting S.r.l. guarantees exercise of rights pursuant to EU Regulation UE 679/2016, including but not limited to, articles 15,16 and 17, to request cancellation, update or modification of personal data to be processed. The data controller can be contacted by email for the above-mentioned purposes: info@mymeetingsrl.com.