Registration 2015

Instructions

  • Please complete this form before September 11th 2015. Registration will not be complete until proof of payment of the 50€ registration fee. This registration fee also includes membership to the BeSSCR during 2015.
  •  Payment information:

Payment should be transferred to:

Name Bank: BNP PARISBAS
IBAN BE42 0016 4482 4754
BIC: GEBABEBB

Universitair Ziekenhuis Gent, De Pintelaan 185, 9000 Gent

Reference: CR/VRO/001 – BeSSCR – congress 18 sept. 2015 – NAME and FAMILY NAME

Form