Voorwoord

Sprekers

Programma

Accreditatie

Locatie & Route

Registration

Registration is accepted according to the 'first come, first served' principle. Participation is only possible for the entire week.

For endocrinologists € 1375 and fellows in training € 1125. This includes hotel room and diner.

For those who do not want to stay overnight registration fees are € 850 and € 650 for endocrinologists and fellows in training, respectively.

 
Gender:  Mrs.     Mr.
Title:
Name/Initials:
Prefix: 
Surname:
Country:
Phone number (+country code): 
E-mail address:
     
Specialism: 
You are:  endocrinologist
fellow in training
Hospital: 
City: 
Country: 
BIG code:   
   
Accommodation needed?  including hotel stay
exclusive hotel stay
   
Payment method:  Electronic banking (iDeal, MasterCard, Visa and more)
  Debit (SEPA, Single Euro Payments Area)

Toestemming nodig i.v.m. Algemene verordening gegevens­bescherming (AVG)

Akkoord dat wij uw gegevens verwerken conform ons Privacy Statement en Sponsorbeleid.
Dit vakje verplicht invullen: anders kunnen wij u helaas niet registeren.

     
Question (optional):

(Fields that are marked with a   are mandatory fields)