Sympozjum Neonatologiczne

Registration form

Personal data

Name (required)

Surname (required)

E-mail (required)

Profession

Medical specialization

Contact data

Workplace/Institution

Address (required)

Phone number (required)

Participation package

STANDARD (20EUR)PREMIUM (30 EUR)


Invoice

yesno


Payer's name/Sponsor

Payer's address

VAT number

Workshops (ONLY PREMIUM PACKAGE):

not interestedWorkshops - yes, I am interested (more details soon)



(required) I hereby give consent for my personal data included in the registration form to be processed by Poznan University of Medical Sciences for the purposes of of the registration process necessary for the organization of the Symposium.


I hereby give consent for my personal data included in the registration form to be processed by Poznan University of Medical Sciences for the purpose of informing me via e-mail or post of future conferences and courses.




Fees

 

STANDARD PACKAGE

- online access to e-Symposium on November 27-28.
- certificate of attendance with educational points
- access to pre-conference courses
- access to video recordings for a period of 3 months

 

PRICE:
20 EUR inc. VAT (EARLY BIRD FEE UNTIL 15 Oct 2020) / 30 EUR inc. VAT

 

PREMIUM PACKAGE

- online access to e-Symposium on November 27-28.
- certificate of attendance with educational points
- access to pre-conference courses
- access to video recordings for a period of 3 months

 

PRICE:
30 EUR inc. VAT (EARLY BIRD  FEE UNTIL 15 Oct 2020) / 40 EUR inc. VAT

 

Bank transfer details:
Fundacja Rozwoju Neonatologii w Wielkopolsce,
33, Polna Street
60-535 Poznań
SWIFT Code: BIGBPLPW
IBAN: PL41 1160 2202 0000 0000 6089 1331
Millenium Bank

The data administrator is Poznan University of Medical Sciences at the address: ul. Fredry 10, 61-701 Poznań, Poland. The data will be processed in order to carry out the registration process necessary for the organization of the Symposium and after giving additional consent also for the purpose of sending information about future conferences and courses via e-mail and telephone. Providing data is voluntary, although it is necessary for the above-mentioned purpose to be achieved. Any person providing their data has the right to access, correct and delete it. The contact person is the Information Security Administrator at Poznan University of Medical Sciences (abi.ump@ump.edu.pl). The duration of data storage and the legal basis are specified, among others by Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (general regulation on data protection).