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USHER Austria Patient Symposium 2026
Event Registration
First name:
*
Last name:
*
Date of birth:
*
Full address:
*
Email:
*
Phone:
*
You are
*
If other, specify
Name of eye diseases (clinical diagnosis)
Name of subtype:
Genetically confirmed diagnosis:
Genetically confirmed diagnosis:
A
yes
B
no
Name of accompanying person:
Interested in getting involved in future activities:
*
Interested in getting involved in future activities:
A
yes
B
no
Your question(s) for our speakers:
GDPR consent:
*
GDPR consent:
I consent to the processing of my personal data for the purpose of organising and administering the event, including receiving further information and newsletters related to the event. I also consent to the use of photographs taken during the event for documentation and communication purposes.
Terms & Confirmation:
*
Terms & Confirmation:
I accept the terms and conditions
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