TEMPLATE ENGELS Betaalde Activiteit

05-Jul-2032 | The Venue Center

Eventuele subtitel

Datum activiteit - oranje en vetgedrukt

Initial(s) *

Last name *

First name

Country *

Hospital/organisation

Function/Profession

BIG-number (only for Dutch participants, if applicable)

Email address *

Confirm email *

Dietary requirements (alleen gebruiken bij een externe locatie!)

Food hypersensitivity (allergy or intolerance)

N.B. The catering at the UMCG is completely vegetarian. You can communicate your food hypersensitivities up to 1 week prior to the course. Only then can we take them into account.

I register as

Function 1

Function 2

Function 3

Speaker

Function 2

€ 20.00

Total: € 20.00

I accept the terms and conditions *

(link to the terms)

What is your mobile number? *

I give permission to make my presentation and any other teaching materials available digitally to the participants after the training.

Yes

Required (AV) resources *

PowerPoint presentation using a computer (including MS Office 365 and an internet connection) and a projector/screen

Otherwise, namely: fill in the answer below.

If you require any other (AV) resources, you can indicate them below:

Would you like us to arrange hotel accommodation? The NH hotel is situated opposite the main entrance of the University Medical Center.

Date of arrival *

Date of departure *

Please upload the abstract of your presentation.

TEMPLATE ENGELS Betaalde Activiteit

05-Jul-2032 | The Venue Center

EAHIL 2027