ACTOS 2023 - EDUCATIONAL GRANTConference participation* Participation Thursday - November 30 Conference dinner - November 30 Participation Friday - December 1 Hotel Victoria - Single room Wednesday Nov 29 - Single Room Thursday Nov 30 - Single Room Friday Dec 1 - Single Room Rate per night: € 290Hotel Victoria - Double room Wednesday Nov 29 - Double Room Thursday Nov 30 - Double Room Friday Dec 1 - Double Room Rate per night: € 310Total PERSONAL INFORMATIONFirst name*Last Name*Hospital or Institute*City*Country*Email* Mobile phone number*Dietary wishes (optional)BIG-number (Dutch participants)ThursdayDinnerFridayINVOICE DETAILSHospital or Company*Contact person / Department / PO number (optional)Address*Postal code & city*Country*Hotel Victoria - Single - Wednesday 29.11 Prijs: Hotel Victoria - Single - Thursday 30.11 Prijs: Hotel Victoria - Single - Friday 01.12 Prijs: Hotel Victoria - Double - Wednesday 29.11 Prijs: Hotel Victoria - Double - Thursday 30.11 Prijs: Hotel Victoria - Double - Friday 01.12 Prijs: CommentsDit veld is bedoeld voor validatiedoeleinden en moet niet worden gewijzigd.