Welcome to the Online Registration for the Livestream!

General Information:

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

1) Participant data: We kindly ask you to complete the following details and confirm your entries by clicking ’continue’. You are able to indicate a different billing
address at 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 select the applicable registration fee.

3) Invoice address and payment: At this step, you may choose a different invoice address. Payment is made immediately after registration; it is not possible
to login to the payment page again. Payment is possible via credit card (VISA/ MASTERCARD; no other credit card provider) and via PayPal. Kindly note that additional security questions might be asked, depending on the type of credit card used. If you have any questions, please contact your credit card provider.

4) Check your data & purchase booking: We kindly ask you to check all entered data. Furthermore, please note that you have to accept our General Terms and Conditions for a successful registration. Confirm your registration by clicking on the "Purchase booking" button. After that, you will then be forwarded to our secure payment handling page. After payment has been made, you will receive an email with a confirmation of your registration and your invoice.

Personal Data

* Input required

Participant Type*

Physicians (Livestream)
Fellows (Livestream)
Nurses/Physician Assistants/Medical Technical Assistants (Livestream)
Employees of the MRI (Livestream)
Industry representatives (Livestream)
Students (Livestream)

Physicians (Livestream)

Fellows (Livestream)

Nurses/Physician Assistants/Medical Technical Assistants (Livestream)

Employees of the MRI (Livestream)

Industry representatives (Livestream)

Students (Livestream)

Gender*

Academic Title

First Name / Middle Initial*

Last Name / Surname*

Role / Position

Company VAT ID No. (if applicable)

EFN (=Einheitliche Fortbildungsnummer); for German physicians

Address

* Input required

Institution / Organisation / Practice / Hospital*

Department / Division

Addition to address (e.g. Building)

Street or Post Office Box*

Zip / Postal Code*

City*

Country*

Communication

* Input required

Phone Number (work)*

Mobile Number

Fax

Email*

Email (Verification)*

Function

* Input required

What is your function in your clinic/practice or in your company?*

If others, please specify: