PreCongress_Emergency

Please follow the registration process and complete as many details as possible using English characters only
Should you be unable to complete this form, please contact us: reg_wsava19@kenes.com
Important! The billing address and/or VAT number cannot be changed once created

Contact Details

Title

First Name

Last Name

Email Address

Address City

Address Country

Work Phone

Mobile Phone

Invoice Details

Company name

Invoice Address Line 1

Invoice Address Line 2

Invoice Address Line 3

Invoice Address City

Invoice Address State

Invoice Address Line ZIP/Post

Invoice Address Country

VAT Number

I agree that my NAME and COUNTRY information only, will be shared with sponsors and exhibitors of this event for purpose of customizing their communications.

I agree that my contact details be shared with sponsors and exhibitors of this event so that they may contact me regarding events, news & information on their products.

Data Processing Consent

I consent

I do not consent

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Internet Explorer

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Choose Internet Options
Click on the Security tab
Click on Custom Level
Scroll down until you see the section labelled Scripting
Under Active Scripting, select Enable and click OK

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Click the Show advanced settings... link then Content Settings in the Privacy section
Select Allow all sites to run JavaScript (recommended) and click Done

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Choose Preferences
Choose Security
Select the checkbox next to Enable JavaScript

PreCongress_Emergency_CC

Data Processing Consent

OFFICIAL INVITATION LETTER