Registration form for the MasterMind private training in orthopaedic medicine

Full name *

Address (Street, City, Country) *

mobile phone number (including country code) *

your email address *

Professional title *

I would like to register for this MasterMind course and accept the terms and conditions as described online *

Yes

I choose following payment option *

Early bird : I pay 699 Euro downpayment now and the saldo of 6.291 Euro will be paid ultimately before 01/04/2021

Registration after 01/04/2021 : I pay 8.990 Euro by bank transfer or by credit card

Early bird, full payment : I pay 6.990 Euro now and receive for free access to the online Masterclass + the USB podcast

Early bird, spread payment : I do 4 payments of 1.800 Euro each. First payment now, second before 15 february, third before 15 march and saldo payment before 15 april 2021

I would like to take advantage of the Reward Referral Program and receive 500 Euro extra bonus *

Yes

In case you join the Reward Referral Program, please write here the name and email address of the colleague who is going to join you

I wish to pay through *

Bank transfer (see bank data above)

Credit card (you will receive an email with the specific payment link)

Any other requests or questions ?

I choose following MasterMind session *

1-7 june 2021

7-13 september 2021

Registration form for the MasterMind private training in orthopaedic medicine

Please print this page for your convencience

Regular price

Early birds save 2.000 Euro!

Save extra money with the Referral Reward Program

ALL inclusive...what is included ?

Where - contact information ?

When ?

Registration procedure ?

Payment options

Global Cyriax Institute