Application Form for the ESPRM and UEMS PRM Section & Board General Assembly

First Name (required)

Last Name (required)

Country (required)

Email (required)

Phone (required)

Attending (click all applicable):
ESPRM General Assembly (22.4.2024 14h - 18h)UEMS PRM Section & Board General Assembly (23.4.2024 9h - 12h)PRM College General Assembly (23.4.2024 12h - 12.30h)

I will join for (click all applicable):
Ljubljana walking tour (22.4.2024 18h - 19h)Wellcome dinner (22.4.2024 @19h)Accompanying person (40 EUR pp)

I will attend ESPRM 2024 Congress:
YesNo

Register