Endorsement Form

Event Information

Event name

City

Country

Website

Start date

End date

Event description

CME information

Organised by a SICOT member?

Yes

If yes, name of SICOT member

Has the SICOT National Representative of the host country been informed about the endorsement and given his/her approval?

Yes

Programme

Additional information

Contact Details

Given Name

Family Name

Email Address

Mobile Number

Privacy Policy

I have read SICOT's Privacy Policy: www.sicot.org/privacy-policy

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Event Information

Contact Details

Privacy Policy

Endorsement Fee

Payment

Thank You

Event Information

Contact Details

Privacy Policy

Endorsement Fee

Payment

Thank You

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