ML CTO ENDOVASCULAR 2024 - Logistics support for Faculty

ML CTO ENDOVASCULAR 2024 – Logistics support for Faculty

ML CTO ENDOVASCULAR 2024 – Logistics support for Faculty https://form.comnco.net/wp-content/uploads/2023/05/Image-badge-ml-endo.jpg 531 236 Com&Co Form Com&Co Form 5 mars 2024 5 mars 2024

Family name*
First name*
E-mail address*
Cell phone number*
Cell phone number (only) Please indicate in front of your phone number, the country dialling code of your country.
City*
Country*
Affiliated Medical Center*
TRANSPORT
Airport and/or station tranfers will be handled by the organization. You will receive detailed information in your travel book few days before your departure by email.
Do you need a transportation booking?*
- Yes, I would like for you to book my transport
- No, I will book my own transport and be reimbursed
Your departure flight will be determined according to your comitments and flight availability. Wednesday May 1st or Thursday May 2nd. Your return flight will be determined according to availability on the evening of Friday May 3rd or Saturday May 4th.
Departure country*
Departure city*
Return country (if it is not departure country)
Return city (if it is not departure city)
Do you need a hold bag? (If plane)
- Yes
- No
Membership card type and number (airline, railroad company...)*
Your seat
- Window
- Corridor
- I have no preferences
Load your passport or identity card.*
Taille max. des fichiers : 128 MB.
Essential for booking your transport. Thank you.
Special requests - Transport
ACCOMODATION
Your accommodation will be arranged according to your flight schedule. The Hotel. Brussels Boulevard de Waterloo 38 1000 Brussels Single occupancy room, breakfast included. Extras and extra nights are at your charge. (Payment on site). If you require a double room, please let us know in the "special requests" section.
Special requests - Accomodation
Please send your receipts and bank details after the congress to:
registration@endovascular-mlcto.com

We will reimburse you up to a maximum of 400€.
We will reimburse you by bank transfer within 4 weeks of receiving your documents. If you use your own vehicle, we will reimburse you according to the standard mileage reference.
Personal Data Policy
GDPR*
I certify that I am a healthcare professional.
GDPR*
By clicking on 'Send', I confirm that I have read and understood our Privacy Policy and consent to the processing of my personal data by COM&CO EVENTS, in accordance with the said Policy, in order to best respond to my registration request.
I authorize that my personal data be transmitted to the industrial partners participating in the event, for exclusively professional purposes.
Email
Ce champ n’est utilisé qu’à des fins de validation et devrait rester inchangé.

CONTACT

Mathilde Houtmann – m.houtmann@comnco.com – +336 79 98 60 75

ML CTO ENDOVASCULAR 2024 – Logistics support for Faculty

TRANSPORT

ACCOMODATION

Personal Data Policy

CONTACT