MEDICON 2026 Registrant Information All fields marked with an asterisk * are required.Registration Form First Name * Last Name * Email * Affiliation * Position / Career stage (Professor, Researcher, Post-Doc, PhD Student, Industry, Other) Scientific contribution Paper IDs associated to this registration: ID Required fields for billing Invoice to * Birth Date Place and country of birth Address * City * Country * - select Country - Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo, Republic Of The Congo, The Democratic Republic of the Cook Islands Costa Rica Côte d’Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Serbia and Montenegro Seychelles Sierra Leone Singapore Sint Maarten (Dutch Part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe VAT id. Number(if applicable) EU country VAT Id - 15 characters alphanumeric Italian Fiscal Code (if applicable) for Italian participants with invoice heading to a natural person PEC (if applicable) for Italian participants Social Events Will you attend the welcome reception social (September 14)? Yes No Will you attend the social dinner (September 15)? Yes No Special Requirements Food preference Vegetarian Vegan Gluten-free Dairy-free Nut-free Fish-free Egg-free Other preference Additional notes (if any) By submitting this form I consent to the processing of personal data transmitted. The data will be processed on the basis of the "Regulations on the processing of personal data" of the University of Siena in implementation of EU regulation 2016/679 and of Legislative Decree 196/2003. Event Fee(s) Early Registration - select Early Registration - Member IFMBE/EAMBES/AIIC - € 640.00 Non-Member - € 800.00 Student - € 250.00 Additional Paper for Members - select Additional Paper for Members - 1 - € 125.00 2 - € 250.00 3 - € 375.00 Additional Paper for Non-Members - select Additional Paper for Non-Members - 1 - € 150.00 2 - € 300.00 3 - € 450.00 Conference dinner - select Conference dinner - 1 - € 70.00 2 - € 140.00 3 - € 210.00 4 - € 280.00 Note: The conference dinner is included for all registration categories except "Student". Students and accompanying persons are required to pay the dinner fee separately. Total Payment Options Payment Method Pay by credit card Pay by bank transfer Review