Exta aanmeld optie – Dutch Flow Cytometry Group

Exta aanmeld optie

Name *

Surname *

Function *

Department / institute

E-mail *

Phone number *

Member of Dutch Flow Group *

If you have an allergy or food intolerance please indicate

Do you need a certificate *
No Yes

Will you attend the diner at restaurant in Delft
Yes No Maybe

Select the meeting you want to attend *

21st DFG meeting, BPRC in Rijswijk (€ 10,00)

Bank Transfer Method *

iDEAL
Overboeking
Bancontact
Belfius Pay Button (+ 1%)

Totaal

€