Charcot 2025 - Registration Non Member

Note : A school certificate will be required for student registration

First name

Last name

Email (if you submitted an abstract, please use the same email address)

Affiliation

Max 170 character

Does this person needs assistance ?

Yes

	Price incl.		Quantity
Gala diner Gala dinner limited to 50 persons. Registration is open to all delegates and spouses, subject to availability.	110.00 €

Food Allergy

Yes

Please specify which allergy

food preferences

Vegetarian

Vegan

None of the above

By participating, this participant agrees that he/she might be filmed or photographed only in the duration of this event.

I agree

TOTAL excl. VAT

€

TOTAL incl. VAT

€

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