Registration ATC 2020

Main details

Salutation * 
First name * 
Surname * 
Email *   
Work - organisation * 
Position * 
Other affiliations
Street * 
Number * 
Postal/ZIPcode * 
City * 
Country * 
Phone * 
VAT number
I get a discount because I am *




 
My registration is part of a group registration (min. 5 colleagues of the same department) *
For those registering with min. 5 colleagues from the same instancy. Note that the head of the department needs to submit a signed request before registering with the names of all attending colleagues.

 

Registration conference

(Prices between brackets are discounts)
EARLY BIRD AFTER 07.01.2020
Registration 1 day € 130 (€ 110) € 150
Registration 2 days € 220 (€ 200) € 240
Registration 1 day preconference workshop € 90 € 90
Registration 2 days preconference workshop € 180 € 180


Registration conference * 








Registration workshops *  
(available 43/70) (Fully booked)

Registration for the reception (Thursday 06.02.2020, 5pm-6.30pm) – For free! * 


Registration for the conference dinner (incl. dinner & beverages) - Restaurant aan de Stroom - (Thursday 06.02.2020, 7pm-…) – €55 * 


Indicate if you have any allergies or special needs

Total amount due: €
Payment options * 

Your registration is only complete after payment of the indicated amount.



When your registration form is submitted, you will receive a confirmation of your registration.
*  required fields
The conference organization, (contact: Minne De Boeck, minne.deboeck@uza.be) collects this personal data for the organization of congress 'At the Crossroads 2.0.'. Under no circumstances will these data be passed on to third parties. This information is kept up to date until after the event. If you wish to view, limit, change or remove your personal data, please contact us at the address mentioned above. More information about our privacy policy: www.uantwerpen.be/disclaimer.