FOCUS: Valve 2020 - Registration

Please be sure that you submit your registration with a valid e-mail address and a valid phone number!
Wait with payment of registration fees until the congress office announces a payment deadline!
We will not charge cancellation fees for unpaid registration fees.
At this point Focus Valve is not postponed. You will be informed in time should this be necessary.

This field MUST BE EMPTY!

If you are part of a team registration, please enter your team code below!

If you are the first team member that registers for this event, leave the Team Code field empty.
A team code will be generated after registration. Please share this code with your team colleagues!

Team Code

The team registration discount conditions are as follows:

2nd team member - 20 % discount
3rd team member - 40 % discount
4th team member - 40 % discount
5th team member - 40 % discount

The team registration discount is limited to 5 members per team.

Personal data

Salutation*

Sir

Madam

Title prefixed

First name*

Last name*

Title suffixed

Address data

Address data*

private

professional

Institution

Department

Street*

Zip code*

City*

Country*

Contact data

Phone*

E-Mail*

Participation type

Profession*

Medical Doctor

Medical Doctor (Trainee)

Nurses

Student

Medical Technical Assistant

other:

Specialisation

Click in the box to select a specialisation. You can select more than one.

Mandatory for Austrian doctors:
Please enter your ÖÄK-Arztnummer. You can request your ÖÄK-Arztnummer on the website of ÖÄK
ALTERNATIVELY you can enter your date of birth and we will request your ÖÄK-Arztnummer for you:

ÖÄK-Arztnummer

Date of birth

Type of Fee*

regular

resident

nurse

student

Please choose your type of fee to see all the workshops.

MEET AND GREET

Monday, Sept. 14, 2019 - Villa Blanka, Weiherburggasse 8, A-6020 Innsbruck

Yes (€ 45.-)

+ 1 accompanying person

Payment type

bank transfer — bank data will be sent with your registration confirmation e-mail

credit card (Mastercard, Visa, AMEX) — After submission on this form you will be redirected to the payment site.

Comment

I have read and understood the Data Privacy Statement.*

I have read and accept the terms & conditions.*

I consent to receive information about further events. This consent can be revoked at any time.

Total fee: 0€ (incl. VAT)

With best regards,
Anne Scholtyssek, Barbara Horak and David Grünseis

T +43 1 536 63- 83, 34 or 62
F +43 1 535 60 16
E

IMPORTANT: CORONAVIRUS COVID19 PANDEMIC

Registration