Welcome to the registration site of
 
11th Annual Meeting of the European Venous Forum 24-26 JUNE 2010

Antwerp, Belgium
Personal data delegate
* Required field
Last name*
First name *
Company / Institution *
Department
Address*
Postal code*
City*
Country*
Telephone
Fax:
E-mail address*

Payment:
After registration you will receive an invoice and instruction for payment. Confirmation of the registration will be sent after receiving payment.
Remarks:
Register as: * Before 18 april 2010

After 18 april 2010
     
EVF Member EUR 400 EUR 500
Non member EUR 500 EUR 600
Trainee / nurse EUR 250 EUR 350

Dinner Cruise p.p.
25 juni 2010
no  
1 person EUR 75
2 persons EUR 150
 
Welcome reception
24 june yes no
 

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