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Pack 2023

    First name

    Last name

    Age

    Specialty

    PathologyGastroenterologyOncologyInternal MedicineOther, please specify

    Degree

    ResidentSpecialistBiologistPharmacistOther position, please specify

    Affiliation: Institution, City, Country, Zip Code

    E-mail

    Phone

    Please choose in which format you would like to participate in the event (required)

    CUIM (optional)

    (Mandatory) Data required for invoicing: Name, surname, PNC, Street and number, City and county. Legal persons (Name of commercial entity, CUI/CIF, Trade register, Address)

    I hereby consent to the processing of the personal data (mandatory)

    YESNO

    The cards on which the payment is made must have the 3D Secure service activated!

    If you encounter problems with the integrated payment method, please pay by bank transfer to the following account:

    RO73BTRLRONCRT0264557501 (RON)

    Banca Transilvania (Transilvania Bank)

    Participation fee: 140 EUR

    If you choose this payment method, please send the proof of payment to the following email address: cristina.vilcov@travelway.ro

    Smart Way (Travel & Events) SRL
    CUI: 33381874
    RO 33381874

    Address: Finland street, no. 25, 2nd floor, apartment 3, Bucharest, Sector 1, Romania.

    Payment method

    Online with bank card via EuPlatesc (Visa / Maestro / Mastercard).

    In the case of the “Online by bank card” payment option, you will be redirected to the secure page of the payment processor where you will fill in a form with the information about your card.

    – Payments with credit / debit cards issued under the Visa and MasterCard logo (Visa / Visa Electron and MasterCard / Maestro) are made through the “3-D Secure” system developed by Visa / MasterCard card organizations and which ensures online transactions the same level of security as those made at the ATM or in the physical environment, at the merchant.

    – “3-D Secure” ensures first of all that no information related to your card is transferred or stored, at any time, on the servers of the virtual store.

    Important to know! – For bank card payments no commission is charged from the cardholder!

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