The 1st ERA Basic Musculoskeletal Ultrasound Course & The 2nd ERA Intermediate Musculoskeletal Ultrasound Course 6 to 7 October 2023, Jumeirah Emirates Towers Hotel, Dubai Musculoskeletal Ultrasound Courses Registration Form Personal InformationTitle * Dr. Prof. Mr. Ms. Mrs. First Name * Last Name * Specialty * Country * Mobile # * Email * Nationality * Gender * Male FemaleCourse LevelPlease 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 , 2023Subject to 5% VATPlease answer the following questions:What is your Level in Ultrasound Experience? * No experience Basic Intermediate AdvancedDid you have the basic EULAR Introductory Online Course? * Yes NoDo 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: 10MBDo you hold an equivalent training to EULAR Basic Ultrasound Course? * Yes NoOnce 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.orgHotel AccommodationPlease contact info@era-rheumatology.org for more details about the packages.Cancellation and refund policyOnly cancellations made in writing will be accepted. Written requests for cancellation should be sent by email to: info@era-rheumatology.orgRefunds will be made after the end of the meetingCancellation 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: 10MBLetter of Recommendation from your supervisor Upload here * Maximum upload size: 10MBReview 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. Submit