REGISTRATION FORM ALPIC 2022

The Conference will be conducted in a hybrid manner (with physical presence of a number of participants and simultaneous on Digital Broadcast). In case, for epidemiological reasons, the conference cannot be held with physical presence, it will be held entirely online.

Confirmation of Registration

For the confirmation of your registration please deposit the amount (including vat and taxes) at the Bank account numbers below:

Beneficiary: Congress World One Person Company
Bank Name: EUROBANK
Bank Account: 00260237820201010881
IBAN: GR5302602370000820201010881
SWIFT CODE: ERBKGRAA

Please send the receipt of your deposit by fax: 0030 210 72 10 051 or by email to the address cv@congressworld.gr)

For any clarification you need regarding your Registration at the ALPIC 2022, please contact us at 0030 210 72 10 001, 210 72 10 052 (Elli Andrikogianopoulou, internal 219, ea@congressworld.gr)

Please fill in the following fields

NAME *

SURNAME *

TITLE *RURAL SERVICE DOCTORPhD HOLDERDIRECTORRESIDENTSPECIALISTPENDINGREGISTRARPROFESSORASSOCIATE PROFESSORASSISTANT PROFESSORLECTURERNURSEHEAD NURSECONSULTANTDOCTORATE STUDENTPOST-GRADUATE STUDENTUNDERGRADUATE STUDENTOTHER

SPECIALTY *

AFFILIATION *

TELEPHONE *

COUNTRY *

EMAIL *

I agree to accept newsletters *

• YES
• NO

REGISTRATION FROM *

• MYSELF
• COMPANY/ TRAVEL AGENCY

NAME OF COMPANY/ TRAVEL AGENCY *

REGISTRATION CATEGORY *

• Physical Presence and Digital Registration - 248,00 €
• Digital Registration only - 62,00 €

REGISTRATION CATEGORY *

• Physical Presence and Digital Registration - 0,00 €
• Digital Registration only - 0,00 €

PROOF OF DEPOSIT *

Click or drag a file to this area to upload.

Total

0,00 €

REGISTER