Affiliate registration fee (on or before 10th May 2018): 320,00 € + IVA 22% (390,40 €)
Membership must be effective when the registration is completed. Proof can be shown by sending the last membership payment made
The registration fee includes:
Participation in all sessions
Exclusive conference bag
Lunches (total number: 3)
Coffee-breaks (total number: 5)
Certificate of attendance
CEUs credits (as indicated below)
Group dinner cost (it includes DJ set by RDS - Radio Dimensione Suono with our
young patients who stutter (optional and limited numbers available, please confirm before 16 May): 40,00 € + IVA 10% (44,00 €)
Payment to be made by 10th May 2018, via bank transfer made out to: C.R.C. Balbuzie Srl – Cassa di Risparmio di Parma e Piacenza,
Roma AG. 5 IBAN IT05C0623003205000040388693
stating the reason for payment as “Registration ICoS – 2018”.
When your form has been received you will receive an email of confirmed registration, as well as receipt of received payment from
the Conference Secretariat. Please provide all relevant taxation identification numbers for the issue of a receipt.
The registration fee will be fully refunded if the organizers cancel the Conference.
If a participant cancels up to three weeks before the start of the Conference, 50% of the
fee will be reimbursed.
No reimbursement will be possible if a participant cancels after this date or fails to
attend the Conference without prior notification. Reimbursements will be made within one
month from the end of the Conference.
ECM CEUs CREDITS
The Conference will provide ECM CEUs credits for Child Psychiatrists, Speech Therapists, Otolaryngologists,
Psycholgists, and Psychomotor Therapists.
The certificate of credits attainment will be sent by certified email, upon the compilation of the satisfaction
questionnaire. It’s mandatory to sign the attendance register at the entrance and exit (not less than 90% of the
total Conference length).
CONSENT TO THE USE OF PERSONAL DATA
In accordance with Law. 196/03, personal data provided during the compilation of this registration form will be
collected and stored so as to guarantee privacy and security and will be used for the exclusive purpose of providing
a certificate with ECM credits and for all communication pertinent to the Course
The Conference Secretariat can be contacted by phone or email:
Tel. +39 06 5910595
Wait for the message to send the form. The time to submit the form depends on the size of the attached file