Registration

An ESAIC–ASAI Collaborative Congress

1. Professional Profile

Full Name *

Academic Title

Email Address *

Mobile Number *

Hospital / Institution & City *

Role / Position *

2. Registration Category & Fees

Attendee Category *

3. Optional Workshops

Select any workshops you would like to attend in addition to the main scientific programme. You may select more than one.

Workshop 1 (Free) — From Impact to Survival: Theoretical Management of Mass Casualty Road Traffic Incidents Workshop 2 (€20) — Non-invasive Neuro-monitoring Workshop 3 (Free) — From Impact to Survival: A Live Multidisciplinary Mass Casualty Road Traffic Simulation

4. Billing & Invoicing

Invoice Issued To *

Individual Receipt Organization / Hospital Invoice

Full Billing Address *

5. Travel & Logistics

I require an official Letter of Invitation for travel validation

Partner Hotel Rates?

Dietary Restrictions

6. Legal Agreements

I agree to the processing of my registration data and accept the official Terms and Conditions / Refund Policy. *

Total Registration Fee: €150.00

About ASAI

ASAI is a non-political and non-profit medical organization. ASAI aims to increase awareness and influence the re-dimensioning of the social, medical and scientific progress of the entire Albanian society.

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