Red Blood Cell Disorders Day
Sign in to Google to save your progress. Learn more
Email *
Name *
Surname *
Who is attending? *
INAMI/RIZIV number (mandatory for doctors)
A french/dutch translation is available: in which language would you like to hear the prensentations? (nb: no translation for the English presentations) *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hôpitaux Bruxellois - Brusselse Ziekenhuizen. Report Abuse