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Title
Gender
First Name
*
Name
*
E-mail address
*
Entity/University/Organization/Company
*
Research group (if applicable)
Address (the address of the person/entity who will pay)
*
Country
VAT number
*
Symposium
*
Full symposium (50,00 €)
only Monday (25,00 €)
only Tuesday (25,00 €)
Qualification
*
Master Student
Bachelor student
PhD student (+100,00 €)
Postdoc (+100,00 €)
PI (+125,00 €)
Industrial (+150,00 €)
Will you attend the cocktail + concert + dinner
*
(Note: the last train from Louvain-La-Neuve to Brussels is at 22h31)
Yes (+80,00 €)
No
What is the number of accompanying persons?
Price: 90,00 € (Per Person)
Price:
90,00 €
Quantity:
Specific dietary requests
None
Vegetarian with fish
Vegetarian without fish
Vegan
Other requests
Please mention here:
Would you like us to send a combined invoice for all people from the same research group, or to send your invoice separately?
Combined
Separate
Are you member of the Belgian Society of Tissue Engineering?
Yes
No
Would you like to become a member of the? Membership is free if you register for this symposium.
Did you submit an abstract?
Yes
No
Agreement declaration:
*
By registering for the BSTE conference 2021 I agree that my e-mail address will be shared with the sponsors of this event.
Agreement photos:
*
By registering for the BSTE conference 2021 I give permission to UCLouvain to make pictures of me in public places (agora, aula,...). These pictures can be used for media channels for marketing, educational products and publications.
Total Price
0,00 €
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