Speaker form - Congreso Sociedad Española del Dolor

FIRST NAME *

LAST NAME *

EMAIL *

PHONE *

ID / PASSPORT *

DATE OF BIRTH *

WORKPLACE *

POSITION *

AFFILIATION *

TWITTER / X ACCOUNT

INSTAGRAM ACCOUNT

OTHER SOCIAL NETWORK

SUBMITTING A POSTER? *

AVAILABLE FOR POSTER REVIEW? *

CITY OF ORIGIN

MEANS OF TRANSPORT 

FLIGHT / TRAIN NUMBER OF OUTBOUND TRAVEL

DEPARTURE DATE AND TIME

RETURN DATE AND TIME

NEED ACCOMMODATION? *

ROOM TYPE 

Name and surname of companion

ID / Passport of companion

FROM WHEN DO YOU NEED ACCOMMODATION?

NUMBER OF NIGHTS

ATTENDING THE CLOSING DINNER? * (EARLY BOOKING PRICE IS €10, UNTIL 22/05/2026)

UPLOAD SIGNED IMAGE RIGHTS RELEASE FORM - DOWNLOAD DOCUMENT HERE *

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UPLOAD YOUR PHOTO FOR THE PROGRAM 

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Speaker FormSED CONGRESS 2026