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General information
2
Registration
3
Payment information
4
Payment
Personal information
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*
Contactinfo
My contacts can be shared with industry partners with regards to the BVK-SBP Congress
My contacts can be used to inform me about future BVK-SBP Congresses
*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 or future congresses of the BVK-SBP.
CONGRESS REGISTRATION FEES
All fees are expressed in Euro and inclusive of VAT (21%).
Please choose one
Early bird
until 19/01/2024
Late fee
from 20/01/2024
States-General - 15/03/2024
I will join the States-General on Friday morning 15 March 2024.
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
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