Transcript ESTS ? Registry Registration form

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 [email protected]
Ing Danilo Pellicano [email protected]
Sue Hesford
[email protected]
+39-334-5712451 or
+39-334-5712449 or
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