Registration form DEBS 10-11 March, 2022

(Click "Yes" or "No").

Please note that your registration is only final once we have received your payment.
As the number of participants is limited, we kindly ask you, to settle your payments as soon as possible to ensure your spot.

Registration cost are € 185.-
This includes access to the conference, meals, accommodation and the social program.

Herewith we kindly request to transfer this amount to the following bank account:

Account holder : St. Sanquin Bloedvoorziening

IBAN Number : NL39 ABNA 0636 6379 21
Reference: RES00030 DEBS meeting 2022 (please clearly indicate!)

We wish to thank you for your registration and are looking forward to seeing you in March at De Beukenhof, Biezenmortel, NL