Hemostasis Science Days

December 12 & 13, 2018 in Berlin, Germany

Please register yourself and your customers by Friday, November 9, 2018 at the latest.
Note that your registration is binding, and cancellation fees will incur in case of no-show or cancellations.

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Customer Profile & Participant Information:

Academic Title

Last Name

First Name

Institute

Country

City

Email address of Siemens Representative

Comments/special requirements

Payment

Costs for hotel accommodation and business packages for Siemens Healthineers representatives and your customers will be cross-charged after the event.

ARE

ORG-ID

GL-Account

Cost Center

Compliance

I confirm that I will obtain all necessary compliance approvals (SpoDoM) for this event.

SpoDoM-ID

Agenda / Participation

Please select one or more days and sessions:

Wednesday, December 12, 2018

Scientific Program
Dinner

Thursday, December 13, 2018

Scientific Program
Internal Dinner (only for SIEMENS participants)
Internal Marketing Meeting 03:00 p.m. - 06.00 p.m. (only for SIEMENS participants)

Friday, December 14, 2018

Internal Marketing Meeting (only for SIEMENS participants) 09:00 a.m. – approx. 02:00 p.m.

Check-in Date

Check-out Date

Please note that you can only register for a selected timeframe. Should you/your customer need earlier check-in or later check-out please contact Diana Bredendiek as credit-card details are required.

Comments

Confirmation

Please note that cancellation fees have to be paid for ALL no-shows or cancellations. These fees will be cross-charged to your cost center.

I confirm that costs for no-show or cancellations/changes will be cross-charged to my cost center.

Data Protection Regulation

Your personal data is shared only in connection with and in compliance with applicable laws and regulations. We do not sell or otherwise market your personal data to third parties.

I confirm that I have collected the customer data provided in this registration in accordance with the General Data Protection Regulation that is valid in my country.

Once you click Submit, you cannot change any information on this page. For further changes, please contact Diana Bredendiek.

I hereby consent to the processing of my above given personal data by the Siemens Healthineers company referred to under Corporate Information and for the purpose described above. Further information concerning the processing of your data can be found in the Data Privacy Policy.
I am aware that I can partially or completely revoke this consent at any time for the future. Please declare your revocation to the contact address given in the Corporate Information and send it to us via the following e-mail address: dataprivacy.func@siemens-healthineers.com.

Thank you for registering for Siemens Healthineers Science Days. Please check your email for the confirmation notice that you will receive shortly from Siemens Healthineers.

Due to technical reasons your request cannot be completed. Please try again or contact us. We apologize for the inconvenience caused.

Hemostasis Science Days

December 12 & 13, 2018 in Berlin, Germany

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