JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Registration Scientific Meeting BSGMS
June 22nd, Faculty Club Leuven
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
E-mail
*
Your answer
RIZIV-INAMI
*
Your answer
I will attend
*
Scientific Meeting 'Aging in MS'
General Assembly
Lunch
Required
I am a
*
member of the BSGMS
neurology resident
MS nurse
Other (40 euro (BSGMS, Huart Hamoirlaan 48 1030 Brussel, IBAN BE09 0689 0988 2457, BIC GKCCBEBB, reference: scientific meeting 2024 – Name Surname)
Required
If you are a neurology resident or an MS nurse, please specify the center you are affiliated with
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
