Atellica NEPH 630 System Launch Event

Marburg, October 23–25, 2017

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Por favor intente más tarde.

I am registering a

Siemens employee E-mail address

Customer information

Title

Last Name

First Name

Institute

Country

City

Accompanying Siemens Representative

E-Mail of Siemens Representative

Comments/special requirements

Customer profile Select:

prospect
existing customer

Type of Account

Other

Siemens Healthineers employee information

Title

Last Name

First Name

Country

City

Comments/special requirements (i.e. vegan, vegetarian, physical)

Compliance

I confirm that I will obtain all necessary compliance approvals (SpoDoM) for this event.

SpoDoM-ID

Payment

Costs for hotel accommodation and business packages for Siemens Healthineers representatives and your customers will be cross-charged after the event.

ARE

ORG-ID

GL-Account

Cost Center

Agenda / Participation

Note that registration is binding.

Please select:

Monday, October 23, 2017

1:00 p.m.– 5:00 p.m. / Atellica NEPH 630 System Marketing Training Part I (internal)
7:00 p.m. Dinner (internal only)

Tuesday, October 24, 2017

8:30 a.m.–12:00 p.m. / Atellica NEPH 630 System Marketing Training Part II (internal)
1:00 p.m.–5:00 p.m. / Atellica NEPH 630 System Launch Event Part I
7:00 p.m. Dinner

Wednesday, October 25, 2017

8:30 a.m.–1:00 p.m. / Atellica NEPH 630 System Launch Event Part II

Agenda / Participation

Note that registration is binding

Please select:

Tuesday, October 24, 2017

1:00 p.m.-5:00p.m. / Atellica NEPH 630 System Launch Event Part 1
7:00 p.m. DInner

Wednesday, October 24, 2017

8:30 a.m. - 1:00 p.m. / Atellica NEPH 630 System Launch Event Part II

Accommodation

Hotel accommodation outside October 23 - 25, 2017, is subject to availability and must be confirmed separately. Due to limited capacity, customer registrations will be treated with priority.

Check-in Date

Check-out Date

Comments (i.e. late arrival/early check-in)

Arrival Date

Arrival Time

Departure Airport

Flight Number

Departure Date

Departure Time

Destination Airport

Flight Number

Confirmation

I confirm that costs for no-show or late cancellations/changes will be cross-charged to the cost center stated above.

Once you click “Submit”, you cannot change any information on this page. For further changes, please contact Sabine Hoffmann or Diana Bredendiek.

Autorizo el tratamiento de mis datos personales por parte de la empresa Siemens Healthineers mencionados en nuestra política de privacidad Corporate Information y para la finalidad descrita anteriormente. Más información sobre el tratamiento de sus datos se puede encontrar en la Política de Privacidad.
Soy consciente de que puedo parcial o totalmente revocar este consentimiento en cualquier momento y para el futuro. Por favor, declarar su revocación a la dirección de contacto ofrecida en la Información Corporativa y enviarla a nosotros a través de la siguiente dirección de correo electrónico: dataprivacy.func@siemens-healthineers.com.

Thank you for registering for Atellica™ NEPH 630 System Launch Event. Please check your email for the confirmation notice that you will receive shortly from Siemens Healthineers.

Debido a razones técnicas, su solicitud no se puede completar. Por favor inténtelo de nuevo o contáctenos. Pedimos disculpas por las molestias causadas.

Atellica NEPH 630 System Launch Event

Marburg, October 23–25, 2017

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