Registration form :: Eqconline

Name Required

Surname Required

Indicate the main subscriber's address

Address 1

Address 2

City

State/Province

Country

Postal Code

Phone number

1. Name, Surname, Email

2. Name, Surname, Email

3. Name, Surname, Email

4. Name, Surname, Email

5. Name, Surname, Email

Please indicate their names and email in the text area below.

Name, Surname, Email

Several possibilities are available. Please tick the appropriate.

Terms and conditions:

Tick the appropriate

1. Individual 250 €

2. Institutional (2-5 persons) 500€

3. Institutional (6-10 persons) 1000€

4. Institutional (>10 persons) 1000€ + 50€ per extra person

5. Individual webinars 75 €

Contact person

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