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Quality in the Spotlight

 

REGISTRATION FORM

"The 2012 ANTWERP MEETING"

29th and 30th March 2012

ERROR BUDGET
and
RISK MANAGEMENT

Full registration as laboratory physician or clinical chemist:
655 €  (before February 1st 2012, 605 €)
as an acting laboratory technician:
225 € (before February 1st 2010, 195 €)

Surname:  --------------------------------------------------------    M / V

Initials:   ---------------  Title:   --------------------  First name: --------
Institution:          ------------------------------------------------------------
Address:         --------------------------------------------------------------   
                       --------------------------------------------------------------
Tel:           --------------------------      Fax:    ---------------------------
E-mail:          ---------------------------------------------------------------

Do you want to present a poster:  Yes / No . Title:  -----------------

         -------------------------------------------------------------------------

Are you interested in a specific, quality in medical laboratories subject:
-------------------------------------------------------------------------- 
--------------------------------------------------------------------------
Do you want to attend the conference dinner (75 €):    Yes / No


PAYMENT - check the appropriate box (Credit card is preferred).

O By VISA credit card

    Expiration date:    ---------------   Card number:  ---------------------     

    Date:  ----------------------       Signature:  ------------------------------
   

    Security number:  -----------
   

     (in €) made payable to: Foundation The Quality Meetings, Tilburg,

     The Netherlands. Unfortunately we are not capable of processing

     any other credit cards. 

 O By bank transfer (in €, free of charge for the receiver) to account

     No:  63.08.57.385 Fortis Bank, Ringbaan West 195, 5037 PB Tilburg,

     The Netherlands.  IBAN code: NL50 FTSB 0630857385.

     BIC code: FTSBNL2R.

     Accountholder: Foundation The Quality Meetings


Send to:        

Dr Christel van Campenhout, Institute of Public Health, Brussels, Belgium

Tel: +32 2 64 255 27,     Fax +32 2 64 256 45

E-mail: christel.vancampenhout@wiv-isp.be


 

An initiative of Foundation 

THE QUALITY MEETINGS
The quality [r]evolution is still going on...