REGISTRATION

First Name

Last Name

Organisation

Job Title

Email

Phone number with country code

Allergies & special dietary requirements Lactose freeGluten freeVeganDairy freeVegetarian diet

Other dietary requirements

I will participate in pre-event on 3rd Feb YesNo

I will participate in cocktails on 4th Feb YesNo

I will participate in dinner on 4th Feb YesNo

Registration code Fill in this field if you have received a code in advance, for example as a speaker or through a partnership agreement.

Billing Information Please provide complete billing information, including any details required for invoicing in your organisation. Ensure that the information matches your official billing documents.

Privacy Policy I have read and accept Medanets' Privacy Policy.