Name: Florence Cardiomyopathies 2026
Start: 2026-10-07
End: 2026-10-09
Location: Florence

Registration Form

* Required fields

Personal INFO

First Name *

Please enter your first name

Last Name *

Please enter your last name

Email * (This field will be your login username)

Please enter your email

Phone *

Please enter your phone number

Title

Please select an option

Gender (for statistical purposes only) *

Please select an option

Birth place *

Insert birth place

Date of birth *

Enter your date of birth

Profession *

Please enter profession

Specialty *

Please enter your specialty

Affiliation *

Please enter affiliation

Position *

Please enter position

Dietary requirements *

Please select dietary requirements

Billing details

Institute/Organization/Company/Name & Surname *

Please enter institute/organization/company/name & surname

VAT number *

Please enter VAT number (or 0000)

SDI-Code *

Please enter SDI code (or 0000)

Italian Fiscal Code * (only for Italian residents)

Please enter Italian fiscal code (or 0000)

Country / Region *

Please enter country / region

City *

Please enter city

Province *

Please enter province

Postcode / ZIP *

Please enter postcode / ZIP

Street address *

Please enter street address

Optional indications

IMPORTANT! Please note that, after the invoice has been issued, the information provided during registration cannot be modified

Any change or cancellation requests must be officially submitted in writing to info@florencecardiomyopathies2026.com
Up to July 27th, 2026: 40% of the registration fee will be charged
From July 28th, 2026 to August 31st, 2026: 70% of the registration fee will be charged
From September 1st, 2026 onwards: No refund will be processed
No-shows will not be eligible for refunds

You must agree before submitting.

I have read, understood, and I agree with the cancellation policy of conference *

Please note that photographs and footage will be taken throughout conference. These can be used by the organizing committee and organizing parties for marketing and publicity in our publications, on our website and in social media or in any third-party publication. Please contact the event organizer (info@florencecardiomyopathies2026.com) if you have any concerns or if you wish to be exempted from this activity.

You must agree before submitting.

I have read, understood, and I agree *

Do you agree that we share your personal information with the "MCR Conference S.R.L" for future correspondence?

Yes

We will use the data you provide (your name, organization, position and email address) exclusively to register you for this event and to establish a picture in advance of the type of participants who have registered. We will not pass on your data to third parties and, if we wish to do so at any time, we will do so only with your consent. After the event, your data will be stored for twelve months in order to send you any correspondence that may be required pursuant to the event. At the end of that twelve-month period, your data will be removed from the records created for the event. Please read our full privacy statement HERE.

Username

Password *

Your password must be 8-20 characters long, must contain special characters "!@#$%&*_?", numbers, lowercase and uppercase.

At least 8 characters, Number, special character Uppercase and lowercase letters

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