EXTERNAL

PERSONAL INFORMATION

First name: *

(prefix) Last name: *

Do you work for a healthcare organisation? If so, please don't enter your work email address. In most cases, confirmation emails (including the invoice) from this payment system are not accepted by such organisations. We apologise for the inconvenience.

Email address: *

GENERAL INFORMATION

My organisation: *

You can categorize my organisation as: *

Business

Healthcare organisation

Educational / Research institution

Other

You have indicated that your organisation falls under Business. Can you specify this by choosing one of the options below: *

Start-up / Spinoff

SME

Large company

You have indicated that your organisation falls under Healthcare organisation. Can you specify this by choosing one of the options below: *

UMC

Other hospital or clinic

Other healtcare organisation

Other

You have entered Other. Can you specify your organisation falls under? *

You have indicated that your organisation falls under an Educational/Research institution. Can you specify this by choosing one of the options below: *

Educational institution

Research institution

Other

You have entered Other. Can you specify your organisation falls under? *

You have indicated that your organization falls under Other. Can you specify this: *

My position: *

I'm a financier: *

Yes

I'm interested/working in the field of: *

FOOD & BEVERAGE

During the event, 50% of the food options will be vegetarian. You don't need to mention this in your answer to the question below.

Dietary requirements/allergies:

REGULATIONS DATA & IMAGES

As a participant in the event, you have to fill in your personal data. With this data, we can inform you about the practical aspects of the event. We will handle your data with care and will not use your data to inform you about other activities unless you indicate that you agree to this. Keep in mind that all acquired visual material (photos/videos) during the event will be published by the organisation as a report of the event (not for promotional purposes).

By signing up, I agree to University of Twente's privacy statement *

I agree that images (pictures/videos) of myself made during the event may be used by the organization for promotional purposes of future activities (with similar content). *

Yes

I agree that my contact details may be used by the TechMed Centre for mailings about future TechMed events and activities, as well as the TechMed Magazine. Read more. *

Yes

Final remarks:

Ticket | External

€ 100.00

Total: € 100.00

EXTERNAL

PERSONAL INFORMATION

GENERAL INFORMATION

FOOD & BEVERAGE

REGULATIONS DATA & IMAGES

PAYMENT

TechMed Event 25 | External