20th ASEICA Registration Form

➡️ In order to register to the Congress, create a new account user in order to process your inscription.
*Important: This credentials are not related to ASEICA membership.

Account Email

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Contact details

Name

Surname

Email address

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Organization

Specialty

ID (DNI, NIE or Passport)

City

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Are you a member of?

Upload document - Please, you must upload the certificate of member of your association. In case you are from ASEICA, you do not have to upload it.

Please, select if you are going to attend the congress dinner:

CONGRESS DINNER FULL

EUR 56.00

Spaces are limited, so secure your spot for this extraordinary evening by purchasing your ticket as soon as possible!

Location: TBD

Date: Oct 09, 2025 Time: 2100 - 2300

Please, select if you are going to attend ASEICA MED Retreat:

Date: Oct 07, 2025 Time: 1100 - 1800

ASEICA MED RETREAT (Socios) FULL

EUR 50.00

ASEICA MED RETREAT (No Socios) FULL

EUR 423.50

Both registration fee includes: Retreat Scientific sessions, certificate of attendance and coffee & lunch.
Networking dinner (more information available shortly)

Invoice details

Name and surname of the attendee

Company/Organization

VAT number

Address

ZIP code

City and Country

Email address for the invoice

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20th ASEICA Registration Form

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