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Formulario Inscripción Hot Topics 2024_

[{“box”:0,”content”:””},{“box”:1,”content”:”

\"\"<\/p>

Formulario de Inscripci\u00f3n – Registration form<\/strong><\/span><\/p>“},{“box”:33,”content”:”

Apellidos\/Family Name <\/strong>[114]<\/p>“},{“box”:13,”content”:”

DATOS PERSONALES \/ PERSONAL DETAILS<\/span><\/h4>

\u00a0 \u00a0<\/p>“},{“box”:34,”content”:”

Nombre\/First Name <\/strong>[115]<\/p>“},{“box”:35,”content”:”

DNI: <\/strong>[116]<\/p>“},{“box”:5,”content”:”

Especialidad\/Specialty:<\/strong> [74]<\/p>“},{“box”:6,”content”:”

Instituci\u00f3n\/Institution: <\/strong>[75]<\/p>“},{“box”:7,”content”:”

Servicio\/Department: <\/strong>[73]<\/p>“},{“box”:9,”content”:”

Telf\/Phone:<\/strong> [85]<\/p>“},{“box”:10,”content”:”

Email: <\/strong>[87]<\/p>“},{“box”:11,”content”:”

Dieta: <\/strong>[246]<\/p>“},{“box”:15,”content”:”

Datos para la factura: Nombre, Direcci\u00f3n, NIF\/CIF:<\/strong><\/p>

[243]<\/p>“},{“box”:37,”content”:”

C\u00f3mo nos has conocido:<\/strong><\/p>

[244]<\/p>

\u00a0<\/p>

DIRECCI\u00d3N\/ADDRESS<\/span><\/h4>

\u00a0<\/p>

Direcci\u00f3n\/Address:\u00a0<\/strong><\/p>

[118]<\/p>

\u00a0<\/p>

\u00a0<\/p>“},{“box”:39,”content”:”

C\u00f3digo \/ Postal: <\/strong>[119]<\/p>“},{“box”:40,”content”:”

Ciudad\/City: <\/strong>[121]<\/p>“},{“box”:41,”content”:”

Pa\u00eds\/Country: <\/strong>[122]<\/p>“},{“box”:53,”content”:”

\u00a0<\/h4>

CUOTA DE INSCRIPCI\u00d3N\/REGISTRATION FEE<\/span><\/h4>

\u00a0<\/p>

Cuota de Inscripci\u00f3n: <\/strong>[90]<\/p>

\u00a0<\/p>“},{“box”:43,”content”:”

FORMA DE PAGO \/ PAYMENT METHOD:<\/span><\/h4>

\u00a0<\/p>

Entidad bancaria: BANCO BILBAO VIZCAYA ARGENTARIA S.A.<\/strong><\/p>

IBAN:\u00a0ES46 0182 0815 81 0201857032<\/strong>\u00a0 SWIFT BIC:\u00a0BBVAESMMXXX<\/strong><\/p><\/div>

\u00a0<\/p>

\u00a0<\/p>“},{“box”:45,”content”:””},{“box”:46,”content”:””},{“box”:47,”content”:””},{“box”:49,”content”:”

Comprobante de transferencia adjunto:
<\/strong>[99] \u00a0 <\/p>

Se realizar\u00e1 por transferencia a la cuenta del congreso especificando\u00a0<\/strong>Nombre\/ Apellido y DNI.<\/strong> Interesados enviar email con ficha inscripci\u00f3n completa y comprobante de transferencia al email:<\/strong> It will be made by transfer to the congress account specifying Name \/ Surname \/ ID. If interested send email with complete registration form and proof of transfer to the following email:<\/p>

hotopicstrauma@gmail.com<\/strong><\/span><\/p>

\u00a0 Ha le\u00eddo y acepto la Pol\u00edtica de Privacidad: <\/strong>[247]<\/p>“}]

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