Charité Summit 2012 Registration

Contact details:

Gender Male | Female
Title
Last name
First name
Position
Institution
Department
Tel
Email
Address
Postcode
City
Country

Category:

Founder/Inventor
Consultant
Investor/Industry
Scientist/Clinician/Administrator
Experienced Entrepreneur
Other

Registration Fees:(excluding „Charité Partnering“)

Charité Member 45€
Member of University, Start-up Company, Tech Transfer, Non-Academic Hospital, Incubator 90€
Investor/ Industry/ Consultant Early Bird 245€ until 16.3.2012, afterwards 390€
Partner 145€
Sponsor/ Media Partner free of charge
Guest of Stiftung Charité free of charge
Invited by:

Events you plan to attend

Summit, April 23-24
Yes | No

Medical Entrepreneurship Networking April, 23
Yes | No
Do you have special dietary requirements?

Special Notes:

May we use your email address for the participation list that we distribute to persons attending the summit?
Yes | No

How did you hear about us?
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Contact

If you have any questions, please contact Mrs Elsbeth Hacker at: