Registration form

You are about to start register for VPH-2018.
Please, fill in the form below. Once the form is valid and correctly processed, you will receive an email with the payment instructions. Please, note that we accept payments by credit card (VISA, MasterCard, and Euro6000) or bank transfer.



Surname/Family name*:
Name*:
Title (Dr, Ms, Mr ...)*:
Email *:
Phone Number*:
Institution*:
Department:
Institution Address*:
City*:
Postal code*:
Country*:
Do you have a contribution? OralPosterAttendee
Are you planning to attend to the Congress Dinner (Thursday 6th)? YesNo
Profile:
Type:
VAT (if you need an invoice):
Any dietary restrictions?:

Total fee: 650 €

Congress fee includes: access to the congress sessions & exhibition, access to the congress abstracts, coffee & tea breaks, Welcome Reception and Conference Dinner (delegates must indicate on the registration form their intention to attend the reception and dinner)