Registration form

Severe dental wear

July 3 & July 4 2023

I am employed at the Radboudumc *

yes

no

Enter your z number here *

Mr./Ms. *

First name *

Last name *

Email address *

Organisation *

Function *

BIG number

Dietary preferences

I agree with the terms and conditions *

(link to the terms)

Choose your ticket group

Kosten

€ 1,290.00

Total: € 1,290.00