Registration

Contact information

Title before name

First name

Surname

Title after name

Phone number including country code

Password

Password confirmation

Hospital details

Hospital

Department

Role in hospital

Street address

Town

Postal code

Country

Please fill in the employer's VAT number if you will be requesting reimbursement of the fee.

Vat No.

Company

Third party invoice

Company name

Company address: Street, house number

Town

Postal code

Country

VAT No:

After registration you will be transferred to the on-line payment page. Registration fee is € 30. Please note that registration is complete only with successful payment transaction. Confirmation of your registration is sent to the e-mail provided, please check your inbox (+ spam folder).

I agree with processing of my personal data by Faculty of Medicine Hradec Králové (Digital Media publishing s.r.o.) according to the rule No 110/2019 of Data Protection Act.

I agree with processing of my personal data by third parties (medical device and pharmaceutical vendors), as identified in the present information, for the purposes of marketing activities such as promotional emails, newsletters.

Registration

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