Registration form - BeNe #2
Via this Google Forms you can register for the 2nd BeNe Brain Stimulation Symposium that will take place on 16-17 November at Sanadome, Nijmegen. The deadline for early bird registration is July 15th.

Costs:
(PhD) students: €125
Professionals - early bird: €200
Professionals - regular: €250

Sign in to Google to save your progress. Learn more
What is your name?
With which institution are you affiliated?
What is your email address?
Are you a (PhD) student?
Clear selection
If there are any dietary restrictions that we should take note of, please list below
To register for the event, please pay the required registration fee to the following account number: 

NL88 RABO 0309 3293 37
Stichting Hersenstimulatie

Make sure that you note your name in the payment comment.

Prior to the symposium, you will receive a confirmation email and invoice if your payment was successful. 
Privacy
The organisation of the symposium wishes to draw your attention to the fact that photographs may be taken in the public areas of the venue. These photographs may be used for the media channels of Stichting Hersenstimulatie for marketing purposes, for educational products or for publications.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Onlime Advies VOF. Report Abuse