20th MGC-SYMPOSIUM

Thursday, September 16, 2010

LUMC, onderwijsgebouw (gebouw 3), Leiden

to Programme Information

Fill in the form and submit. All personnel of the MGC Institutes and associated groups may participate. Attendance will be free of charge including lunch, drinks and dinner.
Deadline for registration is August 31, 2010.

In case you need to change your data resubmit  and tick the relevant choice for 'change'. 


Please fill in the form (fields marked * are required)

Name * 
Initials or 1st name

* 
                                                   (will appear as such on your badge)

Department *

if other, specify:

Phone (work)

   *              

e-mail [please check carefully!]
I will participate in lunch  yes    no    *
dinner yes     no    *

Diet 

vegetarian  yes     no    other: 
This is a change to an earlier registration: yes no 
Remarks


Programme Information

Copyright © 1999-2007 M.J. Niericker/W.Ferro, LUMC. All rights reserved.
Revised: M.J.M.Nivard ==June 24, 2010