Registration | Hellenic Spine Society

First Name *
Last Name *
Phone *
Email *
City/Country *
Specialty *
Hospital *
Registration Categories and Cost *

Registration Categories and Cost Module 1: Basic Comprehensive Course..........................................300,00€ Module 2: Degenerative Spine.......................................................300,00€ Both Module's 1 & 2......................................................................500,00€
Payment Methods *

Payment Methods Bank Transfer Paypal (Credit Card)
Bank Transfer | Module 1: Basic Comprehensive Course *

Bank Transfer | Module 1: Basic Comprehensive Course Cost..........................................................................................300,00€
Paypal (Credit Card) | Module 1: Basic Comprehensive Course *

Paypal (Credit Card) | Module 1: Basic Comprehensive Course Cost..........................................................................................300,00€
Bank Transfer | Module 2: Degenerative Spine *

Bank Transfer | Module 2: Degenerative Spine Cost..........................................................................................300,00€
Paypal (Credit Card) | Module 2: Degenerative Spine *

Paypal (Credit Card) | Module 2: Degenerative Spine Cost..........................................................................................300,00€
Bank Transfer | Both Module's 1 & 2 *

Bank Transfer | Both Module's 1 & 2 Cost..........................................................................................500,00€
Paypal (Credit Card) | Both Module's 1 & 2 *

Paypal (Credit Card) | Both Module's 1 & 2 Cost..........................................................................................500,00€
Bank Account Details
Bank: Piraeus Bank Account No: 6867-135502-117 IBAN: GR23 0171 8670 0068 6713 5502 117 SWIFT CODE: PIRBGRAA Holder : ELENI MAKROKANI When depositing the fee do not forget to mention: • Participant's full name • Reason for payment (Hellenic Spine Society) All bank charges are borne by the depositor.
Please attach your Bank Receipt *
Extra charge for Paypal (Credit Card)- 3,5% *

Extra charge for Paypal (Credit Card)- 3,5% I Agree