50th Annual Conference of the European Teratology Society

I am * ETS member
Non member
Student

My partner will also attend the Welcome Reception and conference dinner (100€/pp) * yes > €100
no The Accompanying Person fee includes welcome reception and ETS Conference dinner. Entrance to the scientific sessions and lunch is not included.

Dietary preferences (please indicate whether you are vegetarian/vegan, have any food allergies etc.)

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Payment via Ogone. Click the Ogone button on the confirmation screen after you have submitted this form. Please note: once you have clicked the online payment button, the online payment must be made immediately. The link to the payment platform is offered once.

Payment via bank transfer to University of Antwerp:
IBAN: BE57 7350 0799 7535
BIC code: KREDBEBB
Reference: YOUR NAME-ETS2022-SC220016