Application form WARNING !!!Course *Choose courseModule AModule BModule C, 3-daysModule C, 5-daysGlucose clamp course, 7-days (April 2019)Date *Choose dateMay 13 - 17, 2019July 22 - 26, 2019October 28 - November 1, 2019November 11 - 15, 2019December 9 - 13, 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!NameSubmit
