Renew your membership or become a member of BSTH 2018.
Full data for each individual member, including updated private postal address and email address are required (only for internal use). Incomplete registration forms cannot be processed
I would like to become a member of BSTH for 2018 / renew my membership *
Organisation / institute
We need to validate your mobile number for this event. We do this by sending you a code via SMS, which you fill in below.
My privat address is (only for internal use)
My profession is *
MD specialist, MSc specialist, PhD scientist
MD trainee, PhD student
Nurse, paramedic, technician, data manager or student
My specialty is
My Membership 2018 subscription:
Note: Only the organizer can cancel the chosen fee options when you have already paid.
Total: € 0.00
Some required fields have not been filled out ().
Membership BSTH firstname.lastname@example.org
Membership BSTH 2018Membership BSTH 20180.00
Membership BSTH 2018Membership BSTH 2018Phoenixstraat 28b