Chest Symposium - Registration

CHEST RADIOGRAPHY INTERPRETATION SESSIONS | BRUSSELS, 10 OCTOBER 2008

Chest radiography interpretation sessions: side-by-side comparison with MDCT

Registration

Name:
First name:
Title:	MD	PhD	other
Hospital
Department:
Address:	Home	Office
Street:
ZIP:
City:
Telephone:
Fax:
email:
Member of the Royal Belgian Radiological Society (RBSR)	120 Euro
Non-member RBSR	150 Euro
Trainee (letter of varification required)	50 Euro

Registration fee should be payed on account: 375-1007077-05

(ING, Marnixlaan 24, 1000 Brussels)
IBAN: BE96375100707705
Swift-address: BBRUBEBB

Please make sure to clearly state the following information in the comments field of the transfer: radiology 44501230 Chestsymposium BSP + name of the participant!