ONLINE REGISTRATION

Only fully completed registrations will be accepted. Each participant will receive a registration confirmation.

Some information provided below will be used also to print your badge, certificate of attendance, etc.
Please make sure that the information below is correct, especially your email address. All correspondence will be sent to the email address entered below.

If the maximum attendee capacity is reached, the Organisers reserve the right to refuse any registration.

"*" indicates required fields

Personal Data

Academic Title

First Name*

Last Name*

Place of Birth*

Date of Birth*

Fiscal Code (Italians only)

Passport Number

Address*

Town/City*

Postal/Zip Code*

Country*

Profession*

Academic / Hospital Affiliations*

Mobile Phone*

Email*

Registration

Registration Fee (VAT included)*

TEAR 2025 - 122,00 €

Totale

Payment Method*

Bank Transfer

Pay Online with PayPal or Credit Card

FC EVENTI Srl
BANK: BANCO BPM SPA
ADDRESS: Via Guerrazzi 32 – 40125 Bologna, Italy
IBAN: IT94T0503402437000000000077
BIC: BAPPIT21208
**** DESCRIPTION OF PAYMENT: “TEAR 2025 REGISTRATION (FIRST NAME AND LAST NAME)” ****

Bank charges are the responsibility of the payer and should be paid at source in addition to the registration fee. Please note that registration will not be effective until payment of the registration fee has been received by the Organizing Secretariat.

Please, upload copy of the bank receipt*

Accepted file types: jpg, png, pdf, doc, docx, jpeg, Max. file size: 50 MB.

Details for Invoice

Name of Individual, Company or Organization*

Address*

Town/City*

Postal/Zip Code*

Country*

Fiscal Code

VAT Number

SDI Code (Italians Only)

Certified E.mail

Recruitment

"Direct recruitment" refers to situations in which a company with commercial interests in the healthcare sector (e.g., a pharmaceutical or medical device company) directly covers expenses registered under the name of a specific healthcare professional (e.g., course registration fee, travel and accommodation costs). Notice: A healthcare professional may obtain no more than one-third of the mandatory continuing medical education credits within the three-year period through direct recruitment.

The undersigned hereby declares:*

that they have not been recruited by any company

that they have been recruited by:

Please, indicate the name of the Company*

Cancellation Policy

All cancellations must be notified in writing to the Organising Secretariat. Refunds will be processed after the Congress. Requests for refunds made after the Congress will not be considered.

Refund of registration fee:
• cancellations on or before November 13, 2025: 30% will be withheld
• cancellations after November 13, 2025: no refund

Data Protection Notices / Privacy Policies

TEAR 2025 Privacy Statement*

In order to proceed and complete the form, you must agree to the TEAR 2025 Privacy Statement. The Organizing Secretariat processes your personal data in accordance with the TEAR 2025 Privacy Statement. For any questions regarding the TEAR 2025 Privacy Statement do not hesitate to contact us at info@fc-eventi.com

I consent to the TEAR 2025 Privacy Statement

Organizing Secretariat Privacy Statement*

The Organizing Secretariat FC EVENTI Srl handles all personal data in accordance with the provisions of the General Data Protection Regulation (GDPR). For your booking within the above-mentioned Congress, the collecting, saving and processing of your personal data is imperative. This is done solely as a means of the organization and completion of the event.
By checking this box, you also understand and consent that your information will be processed and shared with third parties directly involved with the organization (or parts) of the Congress and when the organizational procedure makes this necessary (i.e. operator, hotel). Furthermore, you give the Organizer the right to use your image, in case you will be photographed or filmed.
The registration to this Congress is not possible if we do not get your consent. 
For a complete overview of the applicable privacy policy, see the following link: Data Protection Notice / Privacy Policy

I consent to the Organizing Secretariat Privacy Statement

Agenas Privacy Policy*

By checking this box, I declare that I have read the Agenas Privacy Policy

Other*

I authorize FC EVENTI S.r.l srl to use my data for marketing and commercial purposes, therefore to send me promotional and advertising messages and information about activities in connection to the Congress.

I don't authorize FC EVENTI S.r.l srl to use my data for marketing and commercial purposes, therefore to send me promotional and advertising messages and information about activities in connection to the Congress.

Metodo di pagamento

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MasterCard

Visa

Maestro

Supported Credit Cards: American Express, Discover, MasterCard, Visa, Maestro

Card Number Expiration Date Security Code Cardholder Name

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