Application form Course *Choose courseModule AModule BModule C, 3-daysModule C, 5-daysABS Course, 3-daysABS Course, 5-daysGlucose clamp course, 7-days (April 2019)Date *Choose dateMarch 11 - 15, 2019April 8 - 12, 2019April 28 - May 4, 2019May 13 - 17, 2018June 3 - 7, 2019Name *FirstLastDate of birth *We need it for the certificateCompany or institute, incl. VAT number *DepartmentAddress *TelephoneEmail *Do you want us to book the Bastion hotel?YesNoDate of arrival / departureFirstLastIf you want to take advantage of your visit to The Netherlands, Almere is attractively located for visiting Amsterdam and other places.Invoice address same as aboveYesNoIf no, invoice addressRemarks or wishes. Please indicate the species you want to work with!CommentSubmit
