Enrollment

Bozner Symposium of Plastic Surgery (January 18th to 19th 2019)

Mandatory fields *

Congress *
Consultant / Specialist (399Euro)
Resident / Doctor in training (299Euro)
Medical Student (199Euro)

Home address or Institution address*

First name, Last name*

Academic title(s) *

Institution/University *

Department/Clinic *

Street, Number *

Postal Code, Place *

Land *

Phone

Fax

E-Mail *

Friday 18th Welcome cocktail (included for participants)

Friday 18th Welcome cocktail for maximum 1 accompaniment Person (+25 Euro)

Saturday 19th GALA DINNER with WINE TASTING (included for participants)

Saturday 19th GALA DINNER with WINE TASTING for maximum 1 accompaniment Person (+60 Euro)

SKI DAY & CHALET LUNCH (Sunday, January 20th 2019) (www.obereggen.com) (+55 Euro)

SKI DAY & CHALET LUNCH for maximum 1 accompaniment Person (Sunday, January 20th 2019) (www.obereggen.com) (+55 Euro)

Agreement for processing personal data *

You'll be only officially registered with the receipt of the payment!

Certificate of Residency Status has to be send via mail (scan) to
info@plastischechirurgie.bz.it

The payment includes:
- Welcome cocktail and Gala Dinner
- Lunch incl. beverages
- Coffeebreaks
...and more...

Bank Account

PROJECT & COMMUNICATION SRL
BANK: INTESA SAN PAOLO CARISBO
IBAN: IT81 J 063 85 02419 07400420360T
SWIFT/BIC: IBSPIT2B

Contact:info@plastischechirurgie.bz.it

Professional Congress Organiser: Project&Communication Srl
Strada Maggiore 31
40125 Bologna
www.project-communication.it
Contact person: Giulia Bernabei
mail g.bernabei@projcom.it
Ph. +393343852899

HOTEL BOOKING:
info@hotel-eberle.com
www.hotel-eberle.com
Cognition: Plastic Surgery (SPECIAL ROOM PRICE)

SKIING RESORT:www.obereggen.com