October 10–11, 2021

Registration Form

Registration and Fees

Please tick as appropriate!

I firmly book my participation at the

(100 Euro for registration before August 1, 2021; otherwise 120 Euro)

(210 Euro for registration before August 1, 2021; otherwise 250 Euro)

Payment

Please make the payment for registration to the account mentioned below.

Account holder: Universitaetsklinikum Tuebingen
Bank: Baden-Wuerttembergische Bank Stuttgart
IBAN DE41 6005 0101 7477 5037 93
BIC SOLADEST
Reference D.33.06852/R.S.C.M.
+ Name of Participant
(Please mention the reference on your remittance, otherwise we cannot allocate receipt of your payment. Thank you!)

Registration becomes effective on receipt of payment. The transfer voucher is your entrance ticket.

Cancellation of the registration possible up to August 1, 2021, for a processing fee of 30 Euro.
Thereafter the complete registration fee will be charged.

Registration deadline: September 15, 2021