Registration form symposium Microbiome: from Benchtop to Bedside

27th of October 2026 at Wintercircus, Ghent

Please provide the following information for your registration to the “Microbiome: from Benchtop to Bedside” symposium.

First name *

Last name *

Mail *

Institution or organization *

Profession *

Predoctoral academic

Postdoctoral academic

Medical professional

Private sector

Will you attend *

Day programme (registration fees: €75 for predoc, €100 for postdoc and medical professionals, and €200 for professionals from private sector)

Evening programme, including walking dinner (registration fees: €45)

Both day and evening programme (registration fees: €120 for predoc, €145 for postdoc and medical professionals, and €245 for professionals from private sector)

Total fee

€

To complete your payment further, click 'Submit' at the bottom of this form. This will take you to a confirmation screen, which will show a link to 'MultiSafePay'. Through this link you can pay securely online.
(agree to the terms of sale and then click the link in the confirmation screen to make payment)

Please note that this payment must be made immediately once you have clicked the payment button. The link to the online payment platform is offered once.
When payment is complete you will receive confirmation of payment via email.

Submit

Camille Allonsius camille.allonsius@uantwerpen.be is collecting these personal data to monitor registrations. Under no circumstances will your contact details be passed on to third parties. These data will be stored until 31 December 2026. If you would like to view, limit, change or remove your personal data, please send an email to the address above. Info on our privacy policy: www.uantwerpen.be/disclaimeren.