Registration Form

Glaucoma Insights @ St Eriks

26–27 November 2026

Course fee: 15,000 SEK

Title

Speciality

First Name

Last Name

Email Address

Phone Number (with country code)

Institution/Hospital

City

Country

Invoice will be sent to the following address

Institution/Company Name

Department/Unit

Billing Address

Postal Code

City

Country

Reference/PO Number

VAT Number (if applicable)

Dietary Requirements

Special Needs/Requirements