EWOPA 2023, 8-10 June 2023, Leuven

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Google form for registration

For the payment of the conference fee and the conference dinner please transfer the sum to the following bank account: UZ Leuven, Herestraat 49 3000 Leuven,

IBAN=BE43 4320 0172 2101, BIC= KREDBEBB

Please include the following structured message:+++ 972/2900/27833+++

Email *

Email address? *

Full name *

Affiliation and address *

Do you work as a *

Physician

Nurse

Dietician

Psychologist

Social worker

Student / trainee

Pharma

other

Will attend the EWOPA meeting as physician (regular fee)?

8-10 June for €250 (early bird until 15/04/2023)

8-10 June for €320 (after 15/04/2023)

1 day participation Thursday €70

1 day participation Friday €150

1 day participation Saturday €150

Clear selection

Will attend the EWOPA meeting as AHP/student?

AHP= Allied Health Professional, e.g. nurse, dietician, social worker, psychologist

8-10 June for €170 (early bird until 15/04/2023)

8-10 June for €230 (after 15/04/2023)

1 day participation Thursday €50

1 day participation Friday €100

1 day participation Saturday €100

Clear selection

Will attend the EWOPA meeting as participant from an Emerging Economy Nation?

List of Emerging Economy Nations is available on the website

8-10 June for €50 (early bird until 15/04/2023)

8-10 June for €80 (after 15/04/2023)

Clear selection

Will attend the welcome reception in the City Hall on Thursday evening?

Yes

Will attend on Friday evening the Conference Gala Dinner for €50 *

Yes

A copy of your responses will be emailed to the address you provided.

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