Host Application Form | European Society of Coloproctology

Country *

City/Location *

Suggested Date *

Expected number of participants to ESCP Masterclass *

Masterclass Topic *

Is the Masterclass in conjunction with a national meeting? *

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Name of national meeting

Dates of National Meeting

Expected number of participants to national meeting

Is there a local organising company? *

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Name of local organising company

Local organiser’s contact name(s)

Local organiser’s email

Applicant details

Applicant contact name *

Applicant contact email *

Captcha *

Application to host an ESCP Masterclass