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To register please fill in the registration form and send the SIGNED form by e-mail or fax to:
Mrs. M.A. van den Akker,
Department of Pathology,
Room AE408
Erasmus MC,
3000 CA Rotterdam,
The Netherlands
Phone: +31 107044364
Fax: +31 107044365
e-mail: m.a.vandenakker@erasmusmc.nl
Faxed or scanned signatures shall be deemed as original.
Payments should be made to:
Stichting Fondsen Daniel den Hoed, Rotterdam, The Netherlands
RABO Bank account: 10.20.69.611
with the specification: Registration fee A2008 and name of registrant.
IBAN nr: NL46 RABO 0102069611
BIC/SWIFT code: RABO NL 2u
Rabobank
Kopenhagen 1
2993 LL BARENDRECHT
The Netherlands
Registration will be confirmed after payment is received.
Refunds cannot be made after 31 August 2008. Any refunds prior to this date will be subject to an administration fee of €15.
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