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Registration Form ECAT Symposium 2022
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Registration Form ECAT Symposium 2022
Registration Form ECAT Symposium 2022
Instructions
Please complete the registration form for the 12th ECAT Symposium. All fields with an * are mandatory. After submission you will receive an e-mail which confirms your registration. If you have any questions please contact us at info@ecat.nl.
Type of registration:
Please select one of the options
*
Laboratory (ECAT participant)
Laboratory (non participant)
Sponsor
Industry (representative)
Other
Contact details
Title
First Name
Last Name
*
Name hospital/laboratory/ institution/company
*
Street
*
Zipcode
*
City
*
Country
*
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombi
Comoros
Congo (Brazzaville)
Congo
Costa Rica
Cote d\'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepa
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
E-mail
*
Telephone number
ECAT Laboratory code (if available)
Symposium, congress dinner and journey human body
Symposium, please indicate which day(s) you want to be present
Symposium both days, Thursday 15 and Friday 16 September
Symposium fee both days € 200,-
Yes
No
Symposium Thursday 15 September
Symposium fee one day € 125,-
Yes
No
Symposium Friday 16 September
Symposium fee one day € 125,-
Yes
No
Symposium dinner, Thursday evening 15 September
Symposium dinner fee € 50,-
Yes
No
Journey through the human body
Tour price € 17,25
Yes
No
Additional information
Payment details
The invoice will be sent to you by our financial department within a few weeks by separate mail. Payment within 2 weeks after receipt of invoice. If you have an order number, please add it to the box below. Credit cards and PayPal are not excepted.
Cancellation policy
Cancellations that are made before 1 September will be credited. After this date cancellation fee is 100%
Please inform us below if you have special diet restrictions or other requests
Checkbox
*
I accept the payment and cancelation policy
Please enter any two digits
*
Example: 12
This box is for spam protection -
please leave it blank
Symposium 2022
Programme Symposium 2022
General Information Symposium 2022
Registration Form ECAT Symposium 2022
Sponsors ECAT Symposium 2022
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