Welcome to the Intensive Care Innovation Forum 2026 Registration

Please complete the following form carefully. All boxes marked with an asterisk (*) are mandatory fields. You have the option to fill in boxes not marked with an asterisk (*) to provide additional details. The registration can be paid by credit card (Visa, MasterCard and American Express) or by bank transfer.

If the registration is being made by a third party, please ensure that the individual email address and main address reflect the details of the delegate. Only the correspondence email address and billing address should be used for the third party information.

Information for Non Members only:
As you wish to register for the reduced registration fee for Non Member in training or as scientist an official proof is required in order to complete your registration.

If you have any inquiries or questions, please do not hesitate to contact the ESICM Registration Department (registration@esicm-congress.org).

Tips:

You can click on or hold your cursor over the information icons for more detailed information.
Have your credit card and secure code ready.

Personal Data

Gender*

male

female

other

Degree

First Name*

Last Name*

Communication

Telephone

Individual Email Address*

Correspondence Email Address

If the registration will be proceeded for yourself, please enter again your individual email address here.

If you are proceeding the registration for another person, please enter here the email address of the person who should receive all correspondance as invoices, confirmations and additional information (i.e. secretary, assistant, travel agency).

Main Address

Organisation

Department

Street, Post Office Box*

ZIP*

City*

Country*

Billing Address

Please note that the billing address you enter below must be correct and cannot be changed after the invoice was issued and sent.

Organisation

Department

Street, Post Office Box*

ZIP*

City*

Country*

VAT no.

PO no.

Registration Code

If you have received a registration code for a special registration offer, please enter it here:

Registration code

Communication Preferences

I agree that the contact details given and provided may be used to send information by e-mail/newsletter/post about follow-up events or related events, offers and information of the organising associations. This consent can be revoked at any time in text form (email, letter). I may unsubscribe from this service at any time (e.g. by email, letter, fax).

I agree that the data given and provided may be used for contacting me by e-mail/ newsletter/mail for the purpose of sending information, advertising and offers from sponsors and exhibitors. I may unsubscribe from this service at any time (e.g. by email, letter).