CREATE ACCOUNT

Fields marked with an asterisk (*) are required.

Prefix*

${ errors.first('prefix') }

Title

${ errors.first('title_other') } ${ errors.first('title') }

First name*

${ errors.first('first_name') }

Surname*

${ errors.first('family_name') }

E-mail address*

${ errors.first('email') }

Verify e-mail address*

${ errors.first('email_check') }

Password*

${ errors.first('password') }

Verify password*

${ errors.first('wachtwoord_check') }

Please note: all details submitted will be used for the sole purpose of organising this congress. They may also be shared with our key stakeholders and used for future congresses of ESTIV.

I agree to share my information with the organisers (ESTIV2024) and the secretariat (Klinkhamer Group B.V.) for the purpose of attending this congress. I agree to receiving necessary e-mails containing information about the congress and to receiving an evaluation survey after the congress. Your information will not be used for advertisement purposes. I am also aware that my information will be permanently removed from the congress database 2 months after the congress is complete, or earlier, at my request.* ${ errors.first('conditions') }

CANCEL

CONTACT

Secretariat

Klinkhamer |conferences & events
E. helpdesk@klinkhamergroup.com
T. + 31 (0)43-36 27 008

The secretariat can be reached by telephone from Monday to Friday from 09h00 to 12h15 and 12h45 to 17h00 (CET).