BeSTRO Spring meeting 22 February 2019
Registration form:
Fill out the required fields and press the "submit" button in order to complete your registration.

Visit the BeSTRO website (www.abro-bvro.be) for all the detailed information.

Email address *
Last name *
Your answer
First name *
Your answer
Membership *
Title *
Institute/hospital *
Your answer
INAMI/RIZIV number *
Write "N.A." if not applicable. Your attendance will be registered on the INAMI/RIZIV website after the meeting.
Your answer
Confirmation registration *
Required
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service