Participant

Personal Data

Participant Type*

Doctors
Postgraduate Student

Doctors

Postgraduate Student

Gender*

Degree

First Name*

Last Name*

Please name in the following the invoice address - Thank you!

Address

Company

Street*

ZIP*

City*

Country*

Communication

Phone Number

Mobile Number

Email*

You are going to recive the booking confirmation as well as the invoice via E-Mail.

VAT number

VAT number (if needed), (NIP for doctors from Poland)

Student/Assistant (postgraduate with certification)

I am a student/assistant (postgraduate with certification).
(If yes, Please send your certificate via email to congress@bb-mc.com).
*

yes