WCA-2021 GAA Interasma powered by FREI SA

Virtual Registration Form


CategoriesVirtual Participation
Members150 €
Non Members200 €
Allied Medical Professionals*100 €
Trainees**100 €
Students20 €

    Mr.Ms.Dr.Prof.

    Family Name

    First Name

    Mobile Phone Number

    Address

    Zip Code

    City

    State

    Country

    Email

    Registration Type

    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