Registration

Personal information:

First name *

Middle name

Last name *

Title

Organisation *

Address *

Postal/Zip code *

City *

Country *

E-mail *

Confirm E-Mail *

Phone number *

REGISTRATION

Registration fee includes: admission to all congress sessions, poster and exhibition areas and Congress materials (Final Program, ID card).

EARLY (before 15.06.2022)

200,00 EUR - Medical doctors members of CSDAM (1.450,00 kn)

260,00 EUR - Medical doctors non-members of CSDAM (1.900,00 kn)

130,00 EUR - Residents members of CSDAM (950,00 kn)

150,00 EUR - Residents non-members of CSDAM (1.100,00 kn)

130,00 EUR - Nurses and technicians (950,00 kn)

180,00 EUR - Exhibitors (1.300,00 kn)

100,00 EUR - Students (750,00 kn)

LATE (after 15.06.2022)

260,00 EUR - Medical doctors members of CSDAM (1.900,00 kn)

360,00 EUR - Medical doctors non-members of CSDAM (2.700,00 kn)

200,00 EUR - Residents members of CSDAM (1.450,00 kn)

220,00 EUR - Residents non-members of CSDAM (1.600,00 kn)

160,00 EUR - Nurses and technicians (1.200,00 kn)

180,00 EUR - Exhibitors (1.300,00 kn)

125,00 EUR - Students (950,00 kn)

Accommodation:

If you need accommodation please contact: ivana@conventuscredo.hr

Hotel	Single	Double
	I don't need accommodation

Payment:

Pay via credit card (VISA, MasterCard and AMEX accepted)

Pay via bank transfer (you will receive a confirmatin e-mail with payment details)

Payment details:

All payments will be effected in Croatian currency (HRK). The amount your credit card account will be charged for is obtained through the conversion of the price in Euro into Croatian kuna (HRK) according to the current exchange rate of the Croatian National Bank. When charging your credit card, the same amount is converted into your local currency according to the exchange rate of credit card associations. As a result of this conversion there is a possibility of a slight difference from the original price stated in our web site.

After you submit the form you will be redirected to a secure website to enter your credit card details and finish off payment. You should receive an e-mail from our payment gateway WSPay about your payment status.

We accept the following credit cards types: MasterCard, Visa, American Express.

All bank transfer fees must be covered by participant. You will receive a confirmatin e-mail with payment details.

Account holder: Conventus Credo d.o.o.
IBAN: HR5324840081103726602
Raiffeisen bank Austria d.d. Zagreb,
Petrinjska 59, 10 000 Zagreb, Croatia
SWIFT: RZBHHR2X
NOTIFICATION: DISNIPUT2022, participant's name

Invoice to be issued to:

If you would like to have the invoice issued to a different person or to a company, please fill in all the fields. For a person use the First and Last Name field, and for the company use the Company Name field.

Same as personal info

I would like invoice to be issued to:

First and Last Name:

Company Name:

OIB/VAT ID/TAX ID:

Street Name, Number:

Postal Code, City:

Country:

Total:

Total

Submit registration:

By submitting this form, you acknowledge that you have read and understood the and agree to all its terms and conditions.

In case you don't receive submission confirmation e-mali within 2 hours, please contact us at adrian@conventuscredo.hr