Registration profile

PTAiIT Member

Regular participant

ESA Member

Nurse, student

Personal data

Gender *

Male Female

First Name *

Last Name *

Title

Phone *

E-mail *

Street Address

Postal code

City

Country

Business data

Position

Company name

Licence number/student ID *

Partner`s packages

Platinum Partner Package

Price

Gold Partner Package

Price

Silver Partner Pacckage

Price

Bronze Partner Package

Price

Session Partner 1,5 h

Price

Session Partner 1 h

Price

Mobile App Partner

Price

Internet Cafe Patner

Price

Webcast Partner

Price

Payment summary

Chosen currency

Payment method

Invoice data

Type of Payer

Company / Institution

Individual

Company name *

Address *

Post code *

City *

Country *

VAT No. *

Other e-mail to send invoices

I request an invoice for accommodation on other data

Type of Payer

Company / Institution

Individual

Company name *

Address *

Post code *

City *

Country *

VAT No. *

Other e-mail to send invoices

Comments

* I hereby agree for processing my personal data for the purpose of registration for the 20 International Coggress of Polish Society of Anaesthesiology and Intensive Care as defined in the REGULATION (EU) 2016/679 OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC.
At the same time, I am aware that the congress can be recorded (photo, video) and I hereby agree to use my image in the promotional materials of the congress.

* I agree, that the organizer reserves the right to change the date, place, formula, program or duration of the Congress due to the threat of SARS-CoV-2 virus or for other reasons of an objective nature

I hereby agree to receiving commercial information from us with respect to the conferences organized by Symposium Cracoviense via electronic communication channels in accordance with the Polish Law of 18 July 2002 on the Provision of e-Services (consolidated text: Journal of Laws of 2016, item 1030, as amended).

The data controller is Symposium Cracoviense Sp z o.o., 31-123 Kraków, Krupnicza 3, NIP (tax identification number) PL676-20-61-612 Regon (statistical number) 351475079.
We inform you about the right of access to their data and their rectification, deletion, limitation of processing, transfer of data, opposition. Contact: admin@symposium.pl tel. 48 12 4227600.

We will process your personal data in order to conclude and perform the contract, i.e. manage congress and manage your participation in this congress, in accordance with your order. Such processing will always take place in accordance with applicable law. We will also process your data for other purposes, for example marketing of own services, and if you agree (or have already agreed to), also for the purpose of sending commercial information via electronic means of communication.
Detailed information can be found in our privacy policy:

Additional registrants

Name *

Surname *

E-mail *

Confirmation of registration

Send registration confirmations:

of all registrants to the first registrant only

of all registrants to the first registrant and individually to the others

to each registrant individually

First registrant will receive registration confirmations of all registrants to the e-mail address entered in the first section of the form. Other registrants will not receive any e-mail confirmation (which might include payment information).

Registration

Registration profile

Personal data

Business data

Accommodation

Partner`s packages

Activities

Additional options

Payment summary

Payment method

Invoice data

Comments

Additional registrants