Registration Form Registration Form Personal DataName*Surname*Registration type*PhysicianResidents / ParamedicsLunch*YesNoSimultaneous Translation (only English/Spanish)*YesNoWork Place*City*Phone*Email of registered person*Invoice DataPayment mode*Credit cardTransfer bankTax ID NumberCompany/institutionContact PersonAddressCityPostal CodePhoneEmail addressPrivacy PolicityAccording to Spanish Organic Law 15/1999, of 13th December, for Protection of Personal Data (LOPD), Betaprocess Viajes declares to users that the data provided thorough the web site will be part of a automatized personal date file. This file will be responsibility of Betaprocess Viajes. The objective of the management of this data will be related exclusively with the Eugin Congress. This information will be managed with the maximum confidentiality and added in a safe server. Data will not be communicated to third person or companies. Users will can use the legal rights recognized by law, specifically to change, access or cancel the data. These Rights can be used by users or who represents the users, thorough email application, phone or telefax to the Congress Secretary. Privacy Policity*I have read and agree with the privacy policy Press Send to pay or Previous to modify your data.