REGISTRATION FORM

 

PERSONAL DATA
Fields marked with an asterisk are required

First Name/Name*
  Last Name/Surname/Family Name*
Affiliation*
 
Profession*
 
Professional address*
ZIP/Post Code*
  City*
State/Province
  Country*
Phone number with country code*
 
E-mail address*
 

Special food needs

Remarks /questions

 

BILLING DATA

To fill ONLY if an invoice is requested. The corresponding invoice will be sent by e-mail.

 

Institution/Organization/Company (or Full Name if the invoice must be issued to yourself)
VAT Identification Number
 
Address
  Post code
City
  State/Province
Country
 

 

REGISTRATION FEES (VAT 21% included)

 

  Categories

From 1st March to 30th April

From 1st May to 31st July

From August 1st

CONGRESS REGISTRATION
Health sciences professionals 420,00 € 490,00 € 550,00 €
Members of SESMI
(Sociedad Española de Salud y Medicina Integrativa)
380,00 € 430,00 € 480,00 €
Members of ESIM
(European Society of Integrative Medicine)
380,00 € 430,00 € 480,00 €
Members of FESMEDI
(Federación Española de Sanitarios
por la Medicina Integrativa)
380,00 € 430,00 € 480,00 €
Members of BMAS
(British Medical Acupuncture Society)
380,00 € 430,00 € 480,00 €
Members of Escuela de Osteopatía de Madrid 380,00 € 430,00 € 480,00 €
* Degree students
(only for undergraduate students.
Not available to postgraduate students)
190,00 € 210,00 € 215,00 €
PRE-CONGRESS WORKSHOPS (NOT INCLUDED IN THE CONGRESS REGISTRATION)
Workshops need a minimum number of registrations, in case of cancellation the corresponding fee will be refunded
Pre-congress Workshop 1
Practicing Acupuncture in Pain and Paediatrics
150,00 € 160,00 € 170,00 €
Pre-congress Workshop 2CANCELLED
Myths and facts of premenstrual
syndrome Technique by Dr. Lolas Talhami
100,00 € 110,00 € 120,00 €
Pre-congress Workshop 3CANCELLED
Presence in Stillness
100,00 € 110,00 € 120,00 €
Pre-congress Workshop 4
Gut microbiota and cancer, the importance
of lifestyles: Designing a project
100,00 € 110,00 € 120,00 €
Pre-congress Workshop 5
Wellness and healing through the voice and the sound
100,00 € 110,00 € 120,00 €
Pre-congress Workshop 6
Towards a guide for preventing of exposure
to endocrine disruptors
100,00 € 110,00 € 120,00 €
Pre-congress Workshop 7
Myofascial trigger points and laser therapy
100,00 € 110,00 € 120,00 €
CONGRESS DINNER (NOT INCLUDED IN THE CONGRESS REGISTRATION)
Congress dinner 60,00 € 65,00 € 70,00 €

 


* Degree student registration is available ONLY for undergraduate students. The student rate is not available to postgraduate students (masters, post degrees or PhD students). Certification of student status will be required. If you are a STUDENT, please enclose a copy of your current course enrolment (only PDF file) here.

 

 


The Congress registration fee includes:

  • Admission to all sessions (except the pre-congress workshops)
  • Admission to the exhibit and poster area
  • Congress documentation
  • Certificate of attendance
  • Welcome cocktail on Friday 13th September
  • Coffee breaks
  • Lunch on Saturday 14th September
  • The congress dinner is not included


Places are assigned strictly in accordance with order of payment. Your registration will only be accepted after payment has been received.

 

PAYMENT METHOD

Bank transfer

Bank name: CaixaBank
Bank address: Sao Paulo 6 – 08030 Barcelona
Account name: Activa Congresos - ECIM2019
Account number: ES98 2100 5633 2202 0009 9558
BIC/SWIFT code: CAIXESBBXXX
(The participant's name must be stated on the bank transfer)
Any bank charges must be paid by the sender. This guarantees that we will receive your payment in full

 

Credit Card


Please note that cards accepted are VISA & MASTERCARD.

Once you submit this registration form, you will be automatically redirected to the online payment system.

 

 

 

CONDITIONS AND CANCELLATION POLICY

 

Registration fees are transferable. Name changes must be informed by e-mail.
All refund requests must be received in writing by email or regular mail.

Cancellation on or before 31st July, 2019: Full refund less a cancellation fee of 50 €. From August 1st, 2019 - no refunds can be made for cancellations or failure to attend.

All refund and name changes requests must be received in writing by email to: ecim2019@activacongresos.com

 

 

TOTAL TO BE PAID: 0

 

 

Activa Congresos - Technical Secretariat
Phone +34 933 238 573
E-mail: ecim2019@activacongresos.com


ACTIVA CONGRESOS, S.L informs you that all your personal data collected by the fulfillment of this document will be stored in an automated processing file of our property registered in the General Record Department of the Spanish Data Protection Agency. All your personal data will be processed with the maximum confidentiality, according to the Privacy and Security Policy of this company, and with total compliance to the Personal Data Protection Law 15/1999, of 13 December. The purpose of this data treatment is to manage your registration for the 12th European Congress of Integrative Medicine CONGRESS.

By the fulfillment of this document, you allow us to store your personal data for an automated and documentary treatment as expressed above. We also inform to you, as owner of the personal data, that you can exercise your rights to opposition, access, rectification and cancellation of your personal data, sending your request with an ID copy at the following address: ACTIVA CONGRESOS, S.L. Pg. de l'Havana, 11-13, A1, 2o 2a, 08030 Barcelona. You can also exercise such rights by sending an e-mail to the following address: contacto@activacongresos.com