Registration form ACS symposium - Pulmonary Hypertension & Thrombosis, 2 September 2019

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This event will take place in the Vrijzaal (G0-205, Amsterdam UMC location AMC) and starts with coffee & tea at 15:45-16:00. The symposium starts at 16:00 and ends at 18:00 after which there will be time for drinks and tapas.
See you there!

First name *

Last Name *

E-mail address *

Department *

Research program (multiple answers possible) *

Diabetes & Metabolism

Microcirculation

Heart Failure & Arrhythmias

Atherosclerosis & Ischemic syndromes

Pulmonary Hypertension & Thrombosis

Other:

Required

Amsterdam UMC *

Location AMC

Location VUmc

Function *

PhD student

Postdoc

Principal investigator

Staff member

Research technician

Student

Other:

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