Sign Up for the Course – Registration Form

Reserve your seat

Reserve your seat by filling out the form.

You’ll receive a confirmation of your registration as soon as it’s processed..

Once your registration is confirmed, you can proceed with the payment and send the receipt to: g.accorsi@nexxtaspa.com

• Bank trasfer beneficiary: Nexxta S.p.a.
• Cod. IBAN: IT29T0306902504100000002625
• Payment reference: First name + Last name + [course name] payment

Event Title

First name

Last name

Profession

Practice name

Practice phone N.

Mobile phone N.

Company name

Full address

VAT number

Tax Code

SDI Code

Email for Invoice Submission

Notes / Important Information
(e.g., attending with… / dietary restrictions…)

I agree to receive informational and promotional emails from Nexxta S.p.A. at the email address provided. I’ve read the privacy policy and understand I can withdraw my consent at any time.

I agree

I agree to receive promotional and informational text messages from Nexxta S.p.A. at the phone number provided (e.g. course promotions, updates). I understand I can withdraw my consent at any time by replying “STOP” or by emailing g.accorsi@nexxtaspa.com. Standard carrier rates may apply.

I agree

I agree that my data may be used for profiling purposes and to receive personalised offers based on my preferences and interests.

I agree

Photos and videos may be taken during the event for documentation and promotional purposes. These may be shared by Nexxta S.p.A. on its official channels (website, social media, promotional materials). By registering, you agree to this policy, unless you explicitly request in writing not to be photographed or filmed.

Read our Privacy Policy.

* Fields marked with an asterisk are required.