Registration

Registration fee: 1.210 € (VAT included)

Registration online: 404 € (VAT included)

How to register?

1. Fill in the form
2. Make the payment by bank transfer:
Name of Bank: CAIXABANK, S.A.
Office address: Carrer Pintor Sorolla, 2-4, Valencia
Beneficiary: Urología Médico Quirúrgica
Swift Code: CAIXESBBXXX
IBAN: ES18-2100-1174-0313-0046-0273
Concept of the transfer: “ILUST24 – Number of the Invoice issued – Name of the registered person”.

*All transfers shall be exempt from bank charges for making the transfer.(VAT not included)

Cancellation policy

– Before 10 September 2024: refund of the registration fee, except for a €60 administration fee.
– After 10 September 2024: no refund of registration fees will be made.

First name*

Surname*

Email*

Telephone*

ID/Passport*

Address*

Zip/Postal Code*

City*

Registration options*

Registration fee: 1.210 € (VAT included)

Registration online: 404 € (VAT included)

Profession

Doctor

Medical center where you work*

Is your fiscal information different from your personal information?

Yes

Name/Company name*

Fiscal email*

CIF/NIF*

Tax phone number*

Fiscal address*

Tax City*

Fiscal postcode*

Fiscal Province*

Tax country*

Invoicing remarks*

I have read and accept the Privacy policy of this website.

In accordance with the provisions of Art. 5 of the L.O.P.D., the personal data contained in this form comply with the guarantee of confidentiality and integrity established in the aforementioned Law. The interested party shall at all times enjoy the rights of access, opposition, cancellation and rectification of the data collected, as protected by Law.

This field should be left blank