EuCAP 2021 Registration - Step 1: Personal Profile

Correspondence details:
The information below being used in all the event documentation including the identification badges and list of participants, please use mixed case leggeting.

EUCAP event is organized by the EurAAP association and information in this form can be used for EurAAP activities

Login with your EurAAP Membership credentials to get prefilled data

Fields marked with * are mandatory.

Title *

First Name *

Family Name *

Institution *

Institution Type *

Department

Mailing Address *

City *

Postal Code *

Country *

Telephone *

Fax

E-mail Address *

Confirm e-mail *

Invoice e-mail

If filled, all confirmation e-mails will also be sent to this address.

Please choose a password. This will be used later in case you need to book more events.

EUCAP2021 Password *

Confirm EUCAP2021 Password *

Guest code:

I agree to benefit from a free EurAAP membership valid until EuCAP2022

I agree to send the data present in this module to update my the EurAAP user profile

I accept the terms and conditions