8th International Plasma Innovative Applications in Ophthalmology - ONLINE WORKSHOP
Date: 8 april 2020
Contacts (+39) 06 98381835 - alessandrogiordani@gruppogmv.it
Full programme here:
Registration Form
Fill the following registration form. The day before the event you will receive, through email, a link for access and participate in the webinar.
Title (Prof, Dr, Mr, Mrs, etc) *
Your answer
First Name (in full, no abbreviations) *
Your answer
Surname *
Your answer
Date of Birth (dd/mm/yyyy) *
MM
/
DD
/
YYYY
Medical specialty
Your answer
Country *
Your answer
Mobile telephone number *
Your answer
Email address *
Your answer
I already have experience with Plexr *
Privacy notice
We are committed to protecting the privacy and security of your personal information. You can read our full privacy notice (here: https://www.gruppogmv.com/privacy-policy/), including details of the data controller, our data protection officer, your rights and the steps we take to keep your data secure. The personal information you provide when submitting this form will be used to confirm your booking for this event, communicate with you about the event and tailor aspects of the event to suit your requirements. It is processed in order to meet our contractual obligations to you or to take steps requested by you prior to entering into a contract.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy