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HPI-Mount Sinai Digital Health Forum 2019

21  – 22 November 2019

Online Registration

 
Gender
Titel
First name *
Last name *
Email address *
Institution
Position
Address *
Street/No.
Postal Code/City
Country

Please note, that payment via invoice will only be possible, if you specify a billing address in Germany.


Billing Adress – if different from the one stated above

Titel
First name
Last name
Billing address
Street/No.
Postal Code/City
Country

Agreement

Data Privacy *
Film and photo shoots *
HPI-Events Newsletter

Payment

Costs *
Registration fee: 225.00 EUR
Payment Option

* Mandatory item

Please note: The registration process for the invitations to HPI events is done in the double-opt-in procedure.

  1. Registration: Please enter your data in the form and send it off.

  2. Authentication: If you have sent the form, you will soon receive an e-mail with which you must complete the registration. Please click on the link inserted in the e-mail.

  3. Payment: You can either pay via invoice or credit card. Please select your preferred payment method in the form above. The bill will typically be sent around 14 days after payment. Please note that paying via credit card is only possible with Visa and MasterCard. If you have a voucher code please select the respective option in the form. The voucher code then has to be entered after completing the registration via email.

General data protection notice:

The data entered by you in the online form will be used by the Hasso Plattner Institute solely for sending information about events at HPI. Your data will be treated confidentially. The data protection regulations of the Hasso Plattner Institute apply.

You can find our here: www.hpi.de/en/data-privacy