Registration

Please fill in the form and confirm by clicking "Continue".
If you have any further questions please contact Conventus at (e-mail registration@conventus.de).

We recommend to take out your own seminar cancellation insurance to cover the financial risks of cancellation costs.

Please note: For security reasons the form you are presently using will automatically be interrupted and reset after 20 minutes. To guarantee and protect your information the entire online Registration form is encrypted with SHA (256 BIT).

DO NOT use the "back" function of the internet browser. This can lead to termination and loss of data.

Personal Data

* Input required

Gender*

Degree

First Name*

Last Name*

Tax id

CME

Possible certifications

* Input required

I will need the following certification:*

National State Chamber of Physicians (Please enter your CME No. in Personal data above!)

Medical certification for Austria or Switzerland

I do not need any certification.

Address

* Input required

Company

Department

Addition to address

Street*

ZIP*

City*

Country*

Additional e-mail address for sending invoices

* Input required

Please also use the following e-mail address for sending invoices:

Communication

* Input required

Phone Number

Email*

Email (Verification)*

Usage of Zoom

* Input required

Note: For your participation, it is partly necessary to process your mail address in Zoom. In this way dial-in data and/or your access authorisation can be checked. With your booking, you allow the process. You can find Zoom's information on data protection here: https://zoom.us/docs/ent/privacy-and-legal.html.

What email address should be used for Zoom?

Please use the same email address as used for the registration.*

Yes

Please use the following email address:

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