Should you need assistance, please call EPTDA Bureau at +32 2 660 05 01


For all details about EPTDA Rome 2017, visit www.eptdaconvention.org


STEP 1 STEP 2 STEP 3 STEP 4


FILL IN YOUR ID CODE 

EPTDA members' official representatives have received a personal ID code by email. This code allows members to save time during the registration process as it pre-fills personal and company information.
Should you not have an ID code, please proceed as usual with the registration process without filling the ID code field
ID CODE :

CHOOSE YOUR MEMBERSHIP TYPE 

PLEASE USE ONE FORM PER DELEGATE

Please select your membership type from the menu:


DELEGATE DETAILS 

Delegate details (All fields are required)
Mr. Mrs. Ms.
First name
Last name
Job title
Email
Mobile Phone
+
 
Spouse/Companion information (Required for those bringing their Spouse/Companion)
First name
Last name
Email (optional)
 
Company information (All fields are required)
Company name
Company VAT number
Company address
Post code
City
Country
Phone
+
Fax
+
Website
Invoicing address is different from above
 
Other information
Dietary and/or Allergies Requirements for Delegate Dietary and/or Allergies Requirements for Spouse/Companion
Vegetarian
Allergies
Vegetarian
Allergies