Registration for continuing education IMS (virtual)

Course selection

18.09.2024 09:00 a.m.

06.11.2024 09:00 a.m.

04.12.2024 09:00 a.m.

Personal data

Salutation*

Title

Surname*

First name*

e-mail*

Street*

Zip code and city*

Telephone*

Professional qualification*

Activity*

Agreement on payment modalities (invoicing upon binding registration for the course day)

Payment*

I pay privately

My employer pays

Data of the employer/institution, if employer pays:

Name of employer/institution

Street and house number

Zip code and city

Accounting contact

Other information on accounting

Data protection

Sending

With my non-binding registration, I confirm the accuracy of the information provided above and undertake to pay in accordance with the information provided. If "employer" is specified as the invoice recipient, my employer has been informed of the specified procedure and has given its express consent to the corresponding assumption of costs.

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