June 17-20, 2023, National Palace of Culture, Sofia, Bulgaria

Invited Speakers Registration Form

    Mr.Ms.Dr.Prof.

    Family Name

    First Name

    Mobile Phone Number

    Address

    Zip Code

    City

    State

    Country

    Email

    Registration Type

    Masterclass
    Not AnyMasterclass 1 Frontal Sinus DissectionMasterclass 2 Rhinoplasty Demo or DissectionMasterclass Both

    Dinner
    NoYes

    Number of Persons

    Special/Accessibility needs

    Some presentations will be recorded video to use for educational purposes on the website of ERS and on the ERS Youtube Channel after the meeting. If you DO NOT wish (part of) your presentations to be recorded please indicate in the box below which (part of your) presentation cannot be recorded. If you leave the box empty we assume that you agree with a recording of your presentation.
    Please write your comments here:

    Payment Method

    Payment can be made with all VISA, MASTERCARD and American Express Credit/Debit Cards

    I hereby consent to the processing of the personal data that I have provided according to the GDPR data protection regulations.

    Yes