Venue

Aula Magna
Centro Congressi Federico II
Via Partenope,36 - Napoli

ECM

ECM n° .................Crediti

L'evento è in fase di accreditamento con il Provider MP Congressi & Comunicazione per le seguenti
Professioni:
• Medico Chirurgo Discipline:

Il questionario sarà somministrato alla fine del congresso ed i crediti saranno assegnati secondo i criteri di verifica

Specialist € 250,00 + VAT 22% € 55,00 Totale € 305,00
Residents € 150,00 + VAT 22% € 33,00 Totale € 183,00

Bank Transfer:

Account holder: MP srl Congressi e Comunicazione
BANK: BPER - Ag. 1 Napoli - Italy
IBAN code : IT33D0538703411000000211837
SWIFT CODE : BPMOIT22 XXX

Payments must be made in euro and addressed to MP Congressi
Please specify on the bank receipt "Event May,23"

ECM

Yes

No

First Name

Last Name

Registration Fee

Specialist € 250,00 + VAT 22%= € 305,00

Resident € 150,00 + VAT 22% = € 183,00

Method of payment

Bank transfer

Credit card

Attach here a copy of your Bank Transfer/credit card authorization

Institution/University/Company

Place and Date of birth

Mobile

Email

Address

Zip Code

City

Country

Invoice

Personal invoice

Organization/University

Please type here invoice details : Name, Address, City, Country, VAT, Fiscal Code , SDI(only for Italy)

I agree to the treatment of my personal data