Voorwoord


Sprekers


Programma


Accreditatie


Locatie & Route


Registration


We are sorry! This congress is fully booked.

Please don't use the form below.

If you want to be placed on the waiting list please email us at secretariaat@bureau-prevents.nl.
We can then add your name to our waiting list.


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

For endocrinologists € 1250 and fellows in training € 995. This includes hotel room and diner.

For those who do not want to stay overnight registration fees are € 750 and € 550 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:  iDEAL
  Debit (SEPA, eenmalige machtiging
    incasso vanaf 1 september 2016)

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)