Registration form: 2nd NuPhaC Winter Conference 2024
Personal information
Title *
Prof
Dr
Mr
Mrs
First name *
Last name *
Email address *
Confirm Email address *
Professional information
Home institution / Company Name *
Your role within the institution / company *
Ticket and payment information
Ticket type
*
Regular: €330
Student: €295
NuPhaC International Board members: €245
The payment will be made using the following method *
online payment
by invoice
Total fee
€
Submit
Nurse and Pharmaceutical Care (
nuphac@uantwerpen.be
) is collecting these personal data for participation in the 2nd NuPhaC Winter Conference 2024.
Under no circumstances will your contact details be passed on to third parties.
This data will be stored until the event has ended.
If you would like to view, limit, change or remove your personal data, please send an email to the address above.
More information about our privacy policy:
www.uantwerpen.be/disclaimer
.
