On line registration

1. If you don't pay by Credit Card please send the registration form included copy of the payment to the email ecpb@fastwebnet.it or via fax to +39 06 97254720. Registration CANNOT be accepted or confirmed without full payment
2. PARTECIPANT DETAILS
3. First Name(required)
4. Last Name(required)
5. Address(required)
6. City(required)
7. Country(required)
8. Zip Code(required)
9. Phone(required)
10. Fax
11. Email(valid email required)
12. C.F. (only for registration from italian people)
13. Other related information
14. INVOICE DETAILS (fill only if different from Partecipant details)
15. Name / Company
16. Address
17. City
18. Country
19. Zip Code
20. IVA (only for registration from italian people)
21. ECPB Member Non Member (required)
22. MD Students Nurse Physiotherapist Accompanyng Persons (required)
23. I'd like to receive a copy

 

cforms contact form by delicious:days

Congress fees

PAYMENT TYPE ACCEPTED

BANK TRANSFER

Number :000000314 095
Headline GAETANO ESPOSITO
IBAN : IT58X0301503200000000314095
BIC
Bank receiver (swift) UNCRITMM
Bank beneficiary: FEBIITM1

REASON OF THE PAYMENT: PARTECIPANT NAME -ECPB2010 REGISTRATION

CREDIT CARD

Click on Buy Now . We apologize because the next page is in Italian language but if you click on :

Apri un conto PayPal e procedi al pagamento

from the next page you can choose your country and your language.

The cost of PayPal payment is 13 Euro

Congress fees

Member ECPB €393,00 Non Member €443,00 Nurse-Phisiotherapist €293,00 Accompanying person €273,00 Accompanying person before 30 August €193,00

Registration can be done also Via Fax or Via Email: please download and print the ECPB Workshop2010 registration-form  pdf file

Registration Via Email:

E-Mail registration form with copy of the payment to: ecpb@fastwebnet.it Please include payment by check or transfer. Please keep a copy of the form for your records.

Registration Via Fax:

Fax all pages of the registration form included copy of the payment to

Please keep a copy of the form and your transmission confirmation as a record that the fax was sent successfully.