17th CIMT Annual Meeting

Welcome to the Online Registration!

17th CIMT Annual Meeting

May 21-23, 2019

General Information:

The registration process consists of just four steps, and all mandatory fields are marked with an asterisk '*':

1) Participant data: Please complete the following details and confirm your entries by clicking "Continue". This will also be the invoice address, if you don't choose a different invoice address in step 3. Please make sure to state the correct invoice address incl. the corporate name. If necessary, please consult your accounting department beforehand.

2) Booking: Please choose the congress ticket.

3) Invoice address and payment: In this step, you can choose a different invoice address; please make sure to state the correct one incl. the corporate name. If necessary, consult your accounting department beforehand. Please pay by credit card (VISA or MasterCard; no other credit card provider) or wire transfer, in which case we ask you to read our payment terms. Please also note that there might be additional security questions depending on which credit card you use (e.g. Mastercard Secure Code or Identity Check, Verified by VISA etc.). If you have any questions, please contact your bank.
Payments by credit card must be completed immediately upon registration as there is no possibility to re-enter the payment page at a later point in time.

4) Check your data & purchase booking: Please check all data entries and make sure you accept our general terms and conditions to complete your registration. Confirm your registration by clicking on the "Purchase booking" button. You will then be forwarded to our secure payment page. After your payment has been completed, you will receive a registration confirmation and your invoice by email.

If you have any questions or need help, please contact the congress organizer:
wikonect GmbH, telephone: +49 611 204809-278, fax: +49 611 204809-10, email: sara.fischer@wikonect.de

After 20 minutes, the registration process will automatically be interrupted for security reasons, and all entered data will be deleted.

Participant data

Personal Data

Participant Type*

CIMT Member

Non-Member

Student

Gender*

Degree

First Name / Middle Initial*

Last / Family Name*

Role / Position

CIMT Membership

We kindly ask you to include your member ID number.

Member ID

Address

Institution / Organisation / Practice*

Department / Division

Addition to address (e.g. Building; VAT-No.)

Street or Post Office Box*

Zip / Postal Code*

City*

Country*

Communication

Telephone

Mobile Number

Fax

Email*

Email (Verification)*

Scientific Research Focus

Scientific Research Focus:*

Basic

Translational

Clinical

Institution Type

Institution Type (check only one):*

Please specify 'Other':

Publication of participant list

I agree to have my name, company/institute, city and country included in a participant list that will be made available as an online document to all participants of the 17th CIMT Annual meeting. E-mail addresses or phone numbers will not be listed.

Yes

Abstract Presenter

Are you an Abstract Presenter?

Abstract Presentation

Yes