Registration

This registration form is not active!

REGISTRATION
Participant's details
Name *
Surname *
Organisation *
Position *
Country *
E-mail address *
Phone *
Do you have any dietary or mobility restrictions we should be aware of *

Yes
No
What restrictions do you have *
Participant fees

Fees *

Registration category	Early fee until 19 September	Regular fee from 20 September	Late fee from 1 November
Doctors, residents	200.00	250.00	300.00
Students, nurses	100.00	150.00	200.00
Exhibitors Pass (only for confirmed sponsors)	0.00
Attendance of Headache (7/Nov) and Pain (8/Nov) sessions only	50.00	60.00	70.00

Registration fee includes access to scientific sessions, workshops, industry exhibition and symposia, coffee breaks & lunches and a certificate of attendance (BALCONE20025 will apply for EACCME credits)
Promo code
Payment details
Type *
Registration Number *
Company name *
Valid for export reverse VAT (registered as EU VAT tax payer)
VAT Number *
Address (Street address, City, Country, ZIP code) *
Name of the payer *
Address (Street address, City, Country, ZIP code) *
I have read and agree to these terms and conditions and privacy policy *
Subtotal 0.00 €
VAT ({%}%) 0.00 €
Grand total 0.00 €