Ghent meeting registration

Title

Name *

First

Last

Email *

Organisation

Country *

Are you a PanCare member *

Yes
No
I Want to become a member

Please follow this link to become a PanCare member (opens in new tab, don't forget to complete your registration)

I am joining as a *

Please Specify

I'm planning to join *

Wednesday 20 September Afternoon
Thursday 21 September Morning
Thursday 21 September Afternoon
Friday 22 September Morning

Please give an indication of the times you will joining the meeting.

Would you like to participate in a fun run / walk on Thursday morning? *

Yes
No

Would you like to join the Social Event in the evening of Thursday 21 September? *

Yes
No

The Social Dinner will take place on Thursday evening at the ‘Salons Carlos Quinto’, Kammerstraat 20, 9000 Ghent. The price for the dinner is €30, – per person if attending the PanCare meeting (and €50, – per person for partner/accompanying person). Please transfer the amount to IBAN: BE31 2850 3053 8255 BIC: GEBABEBB Info or comment: PanCare and the name of the participantor

Do you have any dietary restrictions? *

Yes
No

Please Specify

Do you agree to be included in a participant list to be able to easily connect with others *

Yes
No

Name, organisation, role, email

Other remarks