Elos Registration | Hoya Surgical Optics

Registration form by HOYA Surgical Optics GmbH

To provide you with access to “Masters, brought to you by HOYA Surgical Optics” and/or “CME courses for aspiring masters”, we are cooperating with the European School of Advanced Studies in Ophthalmology (ESASO) and like to invite you to register with HOYA Surgical Optics GmbH (HOYA) and ESASO at the same time. We kindly ask you to provide us with some information about you, which allows us to register you for the “Masters” group and/or the CME courses.

Title

First name

Last name

Name of your hospital or pratice

Your email address (for the account on eLos)

City in which your hospital or pratice is

Country in which you are working

Number of years in practice

How many surgeries did you perform so far?

Nationality

Gender

Date of birth

To benefit from our cooperation, we kindly ask you to consent to HOYA's own use of your registration data and sharing the data with ESASO

I consent to HOYA Surgical Optics GmbH passing on my personal data to ESASO to create an account on eLos.

I consent to be added to the “Masters, brought to you by HOYA Surgical Optics” group on eLos, the digital educational platform specialists in ophthalmology

I consent to receive future occasional educational offers, newsletters and product and service information from HOYA Surgical Optics GmbH to the contact information I am submitting

I consent to be added to the CME courses for aspiring masters by ESASO

I consent to be contacted by HOYA Surgical Optics GmbH, ESASO or their external research agency for market research purposes. The participation in market research studies might be rewarded and the collected data will be analysed on an anonymous basis, i.e., the end results/reports will not reveal any information about individual respondents nor institution

You may withdraw your consent at any time by contacting masters.elos@hoya.com

We respect your privacy. Please view the privacy policies of HOYA and ESASO