REGISTRATION FORMPromotional code (optional)Conference participation Conference participation - € 995 ex VAT Single day - Wednesday - € 500 ex VAT Single day - Thursday - € 500 ex VAT Single day - Friday - € 500 ex VAT Conference participation - No VAT Conference Participation - € 995 no VAT Conference participation Participation - Wednesday August 30 Participation - Thursday August 31 Participation - Friday September 1 Hotel Fletcher Nieuwegein Hotel Room - Tuesday August 29 - € 126 Hotel Room - Wednesday August 30 - € 126 Hotel Room - Thursday August 31 - € 126 Hotel Room - Friday September 1 - € 126 Hotel Fletcher Nieuwegein Hotel Room - Tuesday August 29 Hotel Room - Wednesday August 30 Hotel Room - Thursday August 31 VAT (21%) € 0,00 Total Amount including VAT PERSONAL INFORMATIONName* First Last Hospital or Institute*This info will appear on your personal name tagEmail* Mobile phone number*Dietary wishes (optional)BIG-number (Dutch participants)INVOICE DETAILSConference Participation Prijs: Conference Participation - No VAT Prijs: Single day - Wednesday August 30 Prijs: Single day - Thursday August 31 Prijs: Single day - Friday September 1 Prijs: Single day - Wednesday August 30 Prijs: Single day - Thursday August 31 Prijs: Single day - Friday September 1 Prijs: Hotel Fletcher - Tuesday August 29 Prijs: Hotel Fletcher - Wednesday August 30 Prijs: Hotel Fletcher - Thursday August 31 Prijs: Hotel Fletcher - Friday September 1 Prijs: Hotel Fletcher - Tuesday August 29 Prijs: Hotel Fletcher - Wednesday August 30 Prijs: Hotel Fletcher - Thursday August 31 Prijs: Company or Institute*Department / Contact person (optional)Address*Postal Code*City*CountryEmailDit veld is bedoeld voor validatiedoeleinden en moet niet worden gewijzigd.
