Registration ASCID evening symposium 'Tick-borne Diseases' - 14 November 2017

Name:* 
First Name:* 
E-mail:*   
Affiliation (Organisation/Institution):* 
Function:* 
I will attend the sandwich reception (18u30-19u):* 


I will attend the network closing reception (21u10-22u):* 


Accreditation (ethics & economics) has been requested.
*  required fields
The Antwerp Study Centre for Infectious Diseases (ASCID), anke.janssens@uantwerpen.be, is collecting these personal details for the organisation of the ASCID evening symposium. Under no circumstances will these details be given to third parties. If you want to change your personal details or have them removed from our database, please inform us using the address above. More information about our privacy policy: www.uantwerpen.be/disclaimer.