EQIPD summer school 2019 registration (RESERVE LIST)
Event Timing: September 16th-19th, 2019
Event Address: Radboud university medical center, Nijmegen, The Netherlands
Contact us at (+31)24-3668364 or kim.wever@radboudumc.nl
N.B. We've reached our maximum number of participants and official registration is therefore closed. If you fill out this form you will be placed on the reserve list. We will contact people on the reserve list in chronological order if last-minute cancellations occur.
Your name *
Your answer
Email address *
Your answer
Phone number *
Your answer
Organisation name *
Your answer
Organisation address *
Your answer
Department *
Your answer
Position *
Your answer
Organisation billing address (N.B. this may not be a personal address) *
Your answer
Your billing reference (e.g. a project number)
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Registrering for: *
Required
An invoice for the non-refundable administration costs of €50 will be sent to my department (N.B. we do not cover housing or travel costs) *
Required
We're curious: what sparked your interest in the EQIPD summer school? What are your expectations?
Your answer
Thank you, we look forward to seeing you! You will receive additional information about the Summer School via the email address you have provided.
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