Individual Registration

Please fill in the form with your information.

First Name *

Last Name *

Organisation (Acronym) *

Email *

I would like to participate in the MEDEV meeting of 11-12 June 2024 *

I will join in person

I will join online

Would you like to join the dinner on Tuesday 11 June (18:30-21:30), offered by DVSV? Compulsory registration by 31/05 *

Yes

Would you like to attend the buffet lunch on Wednesday 12 June (12:30-13:30), offered by MEDEV? *

Yes

Do you have any food allergies or dietary requirements?

Contact info

ESIP aisbl

rue Montoyer 40
B-1000 Bruxelles

+32 2 315 15 02

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Contact info