Musculoskeletal Ultrasound Courses Registration Form

Personal Information

Title *

Dr.

Prof.

Mr.

Ms.

Mrs.

First Name *

Last Name *

Specialty *

Country *

Mobile # *

Email *

Nationality *

Gender *

Male

Female

Course Level

Please select the level that you would like to attend, noting that you have only one option to choose:

Courses *

The 1st ERA-EULAR Basic Musculoskeletal Ultrasound Course: Early Registration fee: $ 400 From March 2nd, 2023 to August 2nd , 2023 incl. Late Registration Fee: $ 600 From August 3rd , 2023

The 2nd ERA-EULAR Intermediate Musculoskeletal Ultrasound Course: Early Registration fee: $ 600 From March 2nd, 2023 to August 2nd , 2023 incl. Late Registration Fee: $ 800 From August 3rd , 2023

Subject to 5% VAT

Please answer the following questions:

What is your Level in Ultrasound Experience? *

No experience

Basic

Intermediate

Advanced

Did you have the basic EULAR Introductory Online Course? *

Yes

No

Do you have a basic EULAR Ultrasound Training Course Certificate? *

Yes

No

*A EULAR basic MSUS course or a EULAR scientifically endorsed basic MSUS certificate*

Upload the certificate here *

Maximum upload size: 10MB

Do you hold an equivalent training to EULAR Basic Ultrasound Course? *

Yes

No

Once you fill & submit this form, the registration department will be notified automatically and you will receive an online payment link by email to submit the fees.

Registration confirmation (Receipt)

Kindly note that the official receipt will be issued after receiving your payment. If you do not receive it, please contact the registration department info@era-rheumatology.org

Hotel Accommodation

Please contact info@era-rheumatology.org for more details about the packages.

Cancellation and refund policy

Only cancellations made in writing will be accepted.
Written requests for cancellation should be sent by email to: info@era-rheumatology.org

Refunds will be made after the end of the meeting

Cancellation before or on September 6,2023: 50% refund.
Cancellation on or after September 6, 2023: No refund.

Bursary Application

If you would like to apply for the bursary, please check this box.

Please fill it out and upload your declaration letter.

I declare I am not sponsored by any industry * Yes No

Letter of Recommendation from the ERA board Member

Upload here *

Maximum upload size: 10MB

Letter of Recommendation from your supervisor

Upload here *

Maximum upload size: 10MB

Review process

• Your application will be reviewed by a course faculty member, who will decide the application eligibility you submitted.
• The review process can take up to 2 weeks or longer, depending on the number of applications we receive.
• Please await our email for the final decision on your application.

If you are human, leave this field blank.

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