LEUVEN MINDGATE

Visionary Seminar 'Human Genome Editing' -14.12.2017


Registration form

Click here for the full programme, speaker info and programme fees. 
 

To register, please complete and submit the online registration form.
Registration (*) for this event is possible until 7 December 2017.

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 - Kapeldreef 60 - 3001 Leuven – Belgium - VAT: BE0656.972.486 RPR Leuven - www.leuvenmindgate.be
contact person invoicing: Elise Swinnen, admin@leuvenmindgate.be
Invoices will be sent by our accountant from the following e-mailaddress info@dkpa.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


   

 

Participation in our activities at a discount with KMO-portefeuille
Pijler OPLEIDING: Leuven MindGate Registration number DV.O219862
More info on www.kmo-portefeuille.be

(*) 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.

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

Payment information

 

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