Media Registration Form - Euroanaesthesia 2023

FREE REGISTRATION is available for bona fide media representatives. ALL MEDIA are required to enclose a copy of a recognised press card or a commissioning letter from the editor of a recognised publication when returning this form AND to present them at the conference together with valid passport or ID-card.

Attending Euroanaesthesia 2023(Required)

I would like to attend Euroanaesthesia 2023 between 03-05 June 2023.

I am unable to attend but would like to receive the daily news by e-mail.

First Name(Required)

Last Name(Required)

Email(Required)

Representing(Required)

Job Title(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Website

Phone

Type of Publication(Required)

CME Publications

Magazine (N/R)*

Scientific Journal (N/R)*

Radio (N/R)*

Newspaper (N/R)*

TV (N/R)*

Other

*Please indicate whether you are National or Regional media in your own country

Area(Required)

Please upload the following documents(Required)

1. Press card 2. Commissioning letter from the editor of a recognised publication

Drop files here or

Max. file size: 24 MB.

Please note: CME publications may only register two representatives as media. Advertising, marketing and public relations staff from journals or companies are NOT eligible for complimentary media registration. Please consult the conference media policy at esaic.org

Media Application

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