Ultrasound workshop Registration Form

To register please fill the following registration form :

You will receive soon an email to confirm your registration if there are still available places and give you informations to proceed for the payment

I want to participate in the ultrasound workshop(REQUIRED)

Yes No

Your Last Name

Your First Name

Nationality

Hospital

Your Email

Confirm your Email

Phone number

INAMI number

I’m an trainee in orthopedic surgery(REQUIRED)

Yes No

Fields of interest in orthopaedics: