MIFAS by Grecmip
Pre-registration
Natural person / Juridical person
Natural person
Juridical person
Name*
Last name*
Gender
Female
Male
N/A
Birthdate*
Phone*
Phone (Mobile)
E-mail 1 *
E-mail 2
Address*
Zip code*
City*
Country*
PayPal
Professional details
Current Institution/Hospital*
Do you have experience in MIS Surgery?*
Yes
No
Have you attended a MIFAS by Grecmip Course in the past?*
Yes
No
Data Protection Disclaimer
In accordance with the provisions of the General Regulation of Data Protection of the European Union, we inform you that the data introduced in this form will be treated exclusively for registration purposes and communications regarding educational activity within the society and is property solely of MIFAS by GRECMIP and will not be shared with other organizations. At any time you can exercise the rights of access, rectification, opposition, limitation, and, where appropriate, portability or cancellation by sending an email to contact@mifas.org
Terms and conditions
By becoming an active member of MIFAS by GRECMIP I acknowledge the obligation to pay annually the fee of 90,00€ in order to benefit from the advantages to which members are entitled. The status "Active Member" will lapse at the end of each year and in order to remain an active member, the Annual Membership fee will have to be paid again at the beginning of the next year.
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