FIRST STEP TO FINALISING YOUR REGISTRATION
Please complete the form correctly. Some of the information will be used on your congress badge.
Gender*	Male Female
First name*
Family name*
RIZIV Nr. - N° INAMI
Institution*
Email address*
INVOICING DETAILS	The information below will be shown on the invoice, kindly complete this correctly. An administration cost will be charged in case you ask for changes after invoicing.
Company/Institution*
Street*
Number*
Postal code*
City*
VAT Number	e.g. BE0123123123
Telephone number*
*Personal and other information - obtained through the use of this website - maintain property of Act-Wise. This information will not be disclosed or used for purposes other than this congress

CONGRESS REGISTRATION FEES

All fees are expressed in Euro and inclusive of VAT (21%). Please choose one

Early bird until 11/02/2022 Late fee from 12/02/2022

BVK/SBP Celebration - 18/03/2022

I will attend the BVK/SBP Celebration on 18/03/2022

Name on credit/debit card
Please keep your credit card and bank card reader ready. Payment should be done in order to finalize your registration