Workshop Registration - endoscopic spinal surgery, disc prolapses

Please understand that we have preliminary criteria which have to be accomplished for participants. For every course a specific agenda will be prepared providing all details related to the selected date, e.g. location, time schedule, hotel options, faculties. In general, international courses are held in English.

WORKSHOP CATEGORY *

SELECT EVENT *

PARTICIPANT*

MsMr

SURNAME, FIRST NAME, TITLE*

SPECIALISATION*

ENDOSCOPIC EXPERIENCE*

YesNo

DEPARTMENT, FUNCTION

CLINIC / PRIVATE PRACTICE / COMPANY*

STREET / HOUSE NUMBER (CLINIC / PRIVATE PRACTICE / COMPANY)*

ZIP / CITY (CLINIC / PRIVATE PRACTICE / COMPANY)*

COUNTRY*

PLEASE, LEAVE YOUR EMAIL OR PHONE NUMBER*

PLEASE BILL TO:

ParticipantInstitute

I accept the privacy policy*

Data privacy statement

General statement:
We take the protection of your personal information very seriously and strictly adhere to the rules of data protection laws. Personal data is collected on this website only to the extent technically necessary. In no case will the data collected be sold or otherwise disclosed to third parties.
* Required fields