Registration Form for ESTS Registry

User Details

Username		
Password		
Name & Surname		
Hospital		
Hospital full Address		
Telephone

Email		

Dear Colleague,
Please fill in all the required information electronically, and save it as a .doc document, then e-mail it to:

Dr Stefano Passani   s.passani@kdataclinical.it       +39-334-5712451   or Ing Danilo Pellicano d.pellicano@kdataclinical.it     +39-334-5712449  or Dan Snowdon 	 dsnowdon@ests.org.uk 

Once we have completed your registration, we will e-mail you your details to access the new ESTS Database, with the Instructions to assist you in your first few logs in.

We are here to assist you for any issues with the new database Thanks for your collaboration!

Stefano Passani

KDataClinical srl
Sede Legale: Via Orazio, 31 -  ROMA I-00193 IVA: 08843041008	REA: 1121457
Tel: +39-06-86386322	Fax: +39-06-86386323