Agenda - Formedika

Limited places available. Registration on first come, first served basis.

The fields marked with a star (*) are obligatory.

Event*

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Name*

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Surname*

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Introduced data will be used in credentials and certificates. Please, review them carefully.

E-mail*

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Telephone number*

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Specialty*

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Position*

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Workplace*

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Invoice Details

These will be the definitive data for your invoice and they will be sent automatically to the Tax Agency. Once the invoice is issued, no changes can be made.

Name or Business Name*

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Tax Identification Number*

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Address*

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City*

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Postcode*

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Country*

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Telephone number

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Contact e-mail

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Contact person

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Fees*

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Form of Payment*

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Conditions*

Yes, I accept the terms & conditions and the privacy policyThis field is required.

Confirmation*

UpdateThis field is obligatory and a correct value should be introduced.

Please type the letters and numbers shown in the image.

Paseo Urumea, 3 – bajo. 20014 Donostia-San Sebastián. Guipúzcoa. SPAIN.

t: +34 943 468 441 f: +34 943 460 947 m: info@formedika.com