LEUVEN MINDGATE

Visionary Seminar 'Personalized Medicine' - 28.11.2019


Registration

We would be delighted to welcome you to our Visionary Seminar "Personalized Medicine" on November 28th 2019!
Date and Time: Thursday November 28th 2019, 16:20 - 21:00
Location: BNP Paribas Fortis, Sint Maartensstraat 5, 3000 Leuven

Here you will find the full program

To register, please complete and submit the online registration form.

Registration (*) for this event is possible until November 21st 2019.

Special fee available for students & teachers, with proof of status (see below)

For this event you can participate at a discount with KMO-portefeuille
Pijler OPLEIDING: Leuven MindGate Registration number DV.O219862
More info on www.kmo-portefeuille.be

Cancellation after registration is not possible. However, replacement by a colleague is allowed.

When subscribing for a colleague, please send an e-mail to admin@leuvenmindgate.be with the contact details of the participant and invoicing information.

Contact information:

 



Please note: modifications to the contact details as registered in our database can be requested in the remarks field further below.

Purchase Order


Please fill in the PO number. Enter No if no PO number is required or Will follow when it will be delivered later on.


Please make out the PO addressed to : LEUVEN MINDGATE VZW - Vaartstraat 167, 3000 Leuven, Belgium - VAT: BE0656.972.486. Contact person invoicing: Elise Swinnen, admin@leuvenmindgate.be
Bank coordinates: KBC: BE46 7360 2475 1636 (KREDBEBB)

Please inform also the following person about the registration:



Invoice information:


Please fill in if the invoice has to be sent to another address or company.


Extra info



(*) Leuven MindGate will collect and keep the data on this registration form. This information can be corrected or removed on your request, as determined by law.








*Your registration for this event allows us to include your name, position and company in a list of participants that will be shared with other participants and guests to ensure the proper functioning of the event. You can withdraw your consent to this usage of your data at any time by sending an e-mail to: events@leuvenmindgate.be

You can - at any time - withdraw your consent of your personal data being used for the above-mentioned purpose(s) by sending an e-mail to events@leuvenmindgate.be. Learn more about your rights and the use of your personal data in our privacy policy.


Payment information

 

Payment method

 
Payment after reception of invoice.

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