Recon 2.0 Course Registration Form

Course Registration Form

Selected course* Recon 2.0 Course,November 4-8, 2024, Online Course
Course fee: 1800 EUR

Participant information

Title:*

First name:*

Last name:*

Email address:*

Phone:

Affiliation:*

City:*

Country*

Does your site hold a clinical science agreement with Philips Healthcare:* Yes No Don't know

Name of Philips clinical scientist reponsible for your site:

Invoice address

Please provide complete address as it should appear on the invoice. Add additional billing instructions if necessary.

Invoice address:*

Questionnaire

What is your educational background? physics / engineering computer science medicine other

Level of C programming skills: profound fair marginal none

Current Philips release installed on your scanners

Remarks, special requests:

Please check your entries:

Selected course

Participant: . .

Email address:

Affiliation:

City:

Country

Invoice address:

Remarks, special requests:

General conditions

GyroTools reserves the right to cancel a course if the minimum number of participants is not met.
GyroTools may also refuse a registration if a delegate is not eligible for training on the Philips platform.
Cancellations more than 3 weeks before the course starts are free of charges.
Cancellations at shorter notice, unexcused non-attendance or absence during the course will be fully charged.
Payment on invoice only. Please make sure you have indicated the correct invoicing address above. If you need a quote for the purpose of issuing a purchase order, please let us know.

I authorize GyroTools to share my registration information with Philips Healthcare.*

I have read and accept above conditions.*

captcha

Thank you for your registration. We are looking forward to seeing you in the course.

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