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ACCOMMODATION
CONTACT
GRAN CANARIA
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Categoría participantes
Delegates
Speaker
Organization
Exhibitor Oticon
Exhibitor Cochlear
Exhibitor Medel
Exhibitor Advanced Bionics
Exhibitor Suministros Hospitalarios
Exhibitor Amplifón/Gaes
Exhibitor Intermedic
Exhibitor Nurotron
Invitados
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Laboratorio
Medel
Cochlear
Advanced Bionics
Nurotron
Intermedic
Oticon
Suministros Hospitalarios
Innoforce
Cochlear LATAM
Tecnosalud
Cochlear Italia
IOTAMOTION
PAM ARGENTINA
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Mr.
Ms.
Name
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Name
Surname
Telephone
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Email
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Position
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Affilation
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Country
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Afghanistan
Albania
Algeria
Andorra
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City
*
Please select one of the following:
*
(Local taxes included).
Physician (700 €)
Audiologist (600 €)
Speech Pathologist (600 €)
Researcher (600€)
Student (350€)
Resident (350€)
Are you a faculty member? (1)
Yes
No
Early Bird Fee Applies
Code Required
Please upload an official document that verify you are a student
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Suelta archivos aquí o
Selecciona archivos
Tamaño máximo de archivo: 10 MB.
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Are you attending the Conference Dinner?
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(Not included on the registration fee)
Yes
No
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Do you have any food restrictions?
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Yes
No
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Please indicate your food restriction:
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Celiac
Seafood allergy
Vegetarian
Other
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Please specify your allergy:
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REGISTRATION FEE
Physician (Early Bird: 6)
Precio:
Physician
Precio:
Audiologist (Early Bird)
Precio:
Audiologist
Precio:
Speech Pathologist (Early Bird)
Precio:
Speech Pathologist
Precio:
Researcher (Early Bird)
Precio:
Researcher
Precio:
Student (Early Bird)
Precio:
Student
Precio:
Resident (Early Bird)
Precio:
Resident
Precio:
1 day registration (Early Bird)
Precio:
Student Registration (Early Bird)
Precio:
Dinner
*
Precio:
Subtotal
0,00 €
Total
(Local taxes included)
0,00 €
INVOICE DATA'S
Issue the invoice to:
*
Corporation/Organization
Private Person
Name of the Corporation/Organization
*
Name (for invoicing porposes)
*
Name
Surname
Address:
*
Direction
City
Province/State/Region
Postal Code
Country
*
Select your country:
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Côte d'Ivoire
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Congo-Brazzaville)
Costa Rica
Croatia
Cuba
Cyprus
Czechia (Czech Republic)
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (fmr. "Swaziland")
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar (formerly Burma)
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Korea
North Macedonia
Norway
Oman
Pakistan
Palau
Palestine State
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
VAT Number
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PAYMENT
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Credit Car Number
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