Annual Symposium 2024

Occupation*

Fill in truthfully, as this will be checked by the board.

Name*

First Last

Email*

Company / Institute

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

I wish to attend*

Monday 3 June
Tuesday 4 June
Both days
Both days including dinner and 1 overnight stay

If you book without an overnight stay, only lunch will be included.

I wish to attend*

Monday 3 June
Tuesday 4 June
Both days
Both days including dinner and 1 overnight stay

If you book without an overnight stay, only lunch will be included.

I wish to share a room to reduce cost (-€25,-)*

Yes
No

The name of the person with whom I will share is:*

I intend to join the speed date challenge:*

The speed date challenge is specifically aimed at early-career researchers, and the winners will receive an award. More information will be provided in due time.

Yes
No

In case you already paid your membership fee for 2024 this can be reïmbursed*

No, I have not yet paid my membership fee
Yes, please reimburse my student membership
Yes, please reimburse my regular membership

Please indicate your dietary restrictions*

I agree to the following cancellation policy:*

Reservations can be cancelled up to 4 weeks before the start of the symposium. For cancellation, send a mail to Victor van Beusechem (vw.vanBeusechem@amsterdamumc.nl). The registration costs will be reimbursed. Reimbursement of the hotel costs is subject to the cancellation policy of the venue.

Yes

Total

0,00 €

Choose a payment method*

iDEAL
Credit Card