Registration Form
Venue: *
Type of workshop: *
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Date of workshop: *
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Family name (Surname): *
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First name: *
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Academic title/Specialization:
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Country: *
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Phone:
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Email: *
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I am:
Specific questions and requests (treatments you are interested in):
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Do you use/own Fotona laser system? *
Please share the serial number that can be found on the back side of your Fotona laser system.
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I require a Letter of Guarantee (for EU Visa): *
Fotona will use the information you provide on this form to be in touch with you regarding our education and to provide updates on Fotona laser products and treatments. We take our responsibility for protecting your privacy and personal data very seriously. If at any time you wish to opt-out of receiving future emails, you can simply unsubscribe by sending an email to gdpr@fotona.com or by clicking on the unsubscribe link from any emails you have received from us. Please confirm below that you agree: *
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