VIRTUAL CONVENTION SLOTO

1.Personal Data

Last Name*

First Name*

Date of Birth

Place of Birth

Address*

N.*

City*

Postal Code*

Province*

Telephone Number

Mobile Number*

E-mail*

Institute/Hospital

Occupation

Discipline

2.Invoice Data

3.Type of registration

4.Additional Services

5.Hotel Accommodation

Event President

Massimo Franceschini, Emilio L. Mazza

Event Timing

12/12/2020 - 12/12/2020

Event Location

Online

Address

online, Online