Pre-Registration

Page 1

Name, Surname*

Email*

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I agree to receive updates about the Spring School by email:*

Page 2

Type of Address

Institute/Organisation

Department

Address*

Post Code/Zip*

City*

Country*

Phone

Fax

Page 3

My Professional Activity*

Other

My Medical Discipline

Other

Page 4

How I became aware of the VTE Spring School 2023*

Page 5

I attended the past VTE Spring School in*

2013

2015

2017

2019

2021

I have not attended the Spring School in the past

Page 6

Please state briefly the reasons for wishing to participate in the 6th European Spring School on Venous Thromboembolism 2023*

Don't fill this field!

Letzte Aktualisierung: 15.06.2022

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