Individual Registration

Please enter information in the form below to process your registration for event BSCRS 21st Post-Graduate Course.

Ticket Type	Price	Available place	Quantity
Lunch for members and non-members €35 lunch for all	€35,00	Unlimited
Trainee Participation Free for Trainees	€0,00	Unlimited
Surgeon Participation Participation fee; free for members. Please login in the RBSS Community to obtain your reduction.	€30,00	Unlimited
Hands-on session (only for fellows and trainees) Participation fee for all	€50,00	0	N/A

First Name *

Last Name *

RIZIV-INAMI *

Hospital/Institution *

Professional Address (Street + nr) *

Professional Address 2

City *

Postal Code *

Country *

Phone *

Fax

Email *

Comment

VAT Number Hospital/Institution

Training year *

Amount

€

Payment Method *

Paypal Offline Payment