Registration Form for Pre-Congress Course
European Mass Casualty Incident Course

 
Local PCO - Ralcom Exhibitions srl
20A Răspântiilor St., 020548 Bucharest - 2, Romania
Phone: +40-21-211 15 41, 210 65 40; Fax: +40-21-212 27 02; e-mail: ectes2017@ralcom.ro

AFTER YOUR ONLINE REGISTRATION, IN CASE YOU CHOOSE TO PAY BY BANK TRANSFER, 
PLEASE SEND US BY E-MAIL/ FAX THE DOCUMENT PROVING THE PAYMENT OF THE REGISTRATION FEE.

The Organizers thank you in advance for providing your detailed coordinates enhancing the communication related to the ECTES 2017 Congress.
  • Step 1
    Participant
  • Step 2
    Registration fees
  • Step 3
    Data protection
  • Step 4
    Payment Methods
  • Step 5
    Preview / Submit
 
Participant
The sections marked with * are mandatory.
Title 1 (*)

Title 2 (*)




First Name (*)
Last Name (*)
Affiliation (Hospital, Institution) (*)
City and County / District (*)
Country (*)
Mobile No. (*)
E-mail (*)
ATTENTION! On this address, you will receive further notifications regarding your course registration.