please fill in mandatory fields marked with a *.

I hereby sign up for the marked seminar:

titel

first name*

lastname*

profession

date of birth

phone*

mobile

email*

street, number*

post code*

city*

continuing education points*

confirmation and payment

Your registration will be confirmed by us by e-mail which then constitutes your firm booking. Payment is by bank transfer only and will become due upon receipt of the invoice together with the booking confirmation.

terms and conditions

Registrations (i. e. bookings of seminars) can only be accepted in writing, by email or by this registration form.
An administration fee of € 30 will apply for booking cancellations that must be made in writing. The entire fee will be due for cancellations from four weeks prior to the beginning of the seminar.
As participant I acknowledge that the organizer cannot be held responsible for the cancellation of seminars due to unforseeable circumstances of commercial or political nature, in case presenters cancel the seminar, or due to force majeure. The organizer reserves the right to cancel a seminar in case of insufficient participation. With my registration I accept these terms and conditions.
I accept the electronic processing of my personal data by WIETRA for internal administrative purpose. No personal data will be passed on to third parties. For more details refer to Datenschutzerklärung.

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