REGISTRATION FORM

II LICHEN HUB MEETING

en
- Español
- English

Home
INFORMATION
- GENERAL INFORMATION
- VENUE
PROGRAMME
REGISTRATIONS
- INFORMATION
- REGISTRATION FORM
PRIVATE AREA

REGISTRATIONS

INFORMATION
REGISTRATION FORM

Form

Resume

Confirmation

PERSONAL INFORMATION

Name

Surname

DNI/NIF/Pasaporte

Phone number

Address

ZIP Code

City

Province

Country

Workplace

Speciality

Do you have any food allergies or intolerances?

Yes

Please indicate which one below

ACCESS CREDENTIALS

Do you want to define your user access code?

Yes, I want to specify my password

No, I want the system to generate a key for me and send it to me by email

Password

BILLING DATA

Is your billing information different from your personal information?

Yes

Name / Company name

Fiscal email

CIF/NIF

Fiscal phone number

Fiscal address

City

ZIP Code

Province

Country

REGISTRATION TYPES

Registration types

300,00 € Until day 15/01/2025 Early bird

Until 15th January 2025

400,00 € General Rate

300,00 € SEGERF member

300,00 € Partnerships

The partnership eligible for this rate will be published soon

90,00 € Residents, midwives, physiotherapists

Include here your SEGERF member number

TERMS OF USE

Legal notice

Here the privacy policy

Warning: You have exceeded the maximum number of selected options, to select that you must remove one of the other options.

I have read and accept the terms of use

HOTEL NH VENTAS

C/ de Biarritz, 2, Salamanca

28028 Madrid

Content

Home
INFORMATION
PROGRAMME

REGISTRATIONS
PRIVATE AREA

CLINICA PLANAS LICHEN HUB MEETING. 19 April Barcelona

Information about cookies

Este sitio web utiliza cookies. Para saber más sobre su finalidad y gestionar sus preferencias de uso, puede utilizar el botón de configuración.

Accept all Reject all Settings

Configuration of cookies.

Our website uses cookies.Cookies are data files that allow information provided by your browser, such as date and time, location, preferences and other elements that intervene in your user session.

You can configure your cookies' settings using the following form. If you dont want to accept the generation of cookies, you can navigate the website without any restriction.

Technical cookies needed Necessary for the use of essential services such as user session.

Follow-up cookies They allow obtaining data from your browser, such as your preferences, navigation activity, IP addresses, geographical location, etc.

Statistical analysis cookies They allow to quantify the number of visitors and statistically analyze the use of the users of our services

Segmentation or advertising cookies They are used to deliver more pertinent ads for you and your interests.They also allow you to limit the amount of times you see an ad, as well as to help measure the effectiveness of advertising campaigns

Social Network Cookies They allow interacting with the content of different social platforms.The conditions of use of these cookies and the information collected is regulated by the Privacy Policy each platform