BGDO Annual Meeting 2019 registration form

Thank you for enrolling for the BGDO Annual Meeting on 12 January 2019 at the Crowne Plaza Brussels Airport.

The registration is free for persons who are already a member of the BGDO for the year 2019.

To start your BGDO membership 2019:

New members: please apply first for your membership here: BGDO 2019 membership. Afterwards you can return to this page for the free registration.
Current members: please login first here: Login and complete the renewal form. Afterwards you can return to this page for the free registration.

Registration Category *

Payment to BGDO account number BE63 3400 2014 3908 – subject first & last name + e-mail + meeting 19.

80 € - physician

40 € - trainee

Free - BGDO Member 2019

Title *

First Name *

Last Name *

Email *

INAMI - RIZIV number *

N/A if you don't have one

After payment an invoice will be sent to the below contact details via e-mail.

Billing Name - Cie

Address

Country

Zip Code

City

VAT number

N/A if not applicable

Comments - Suggestions

Information agreement

I agree that the BGDO informs me about activities and information of interest through the indicated e-mail address