Registration Form

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WELCOME

Dear Participant,

If you want to review the 1^st OTC Belgium Dissection webinar on Importance of vascularity in foot and ankle trauma - Surgical approaches and solutions which took place on Thursday 29 April 2021 you need to complete this registration form.

Once we have all your contact details we will also keep you updated with the future courses we organise.

Contact
If you have any questions regarding registration, do not hesitate to contact us at office@otc-belgium.be.

To start a new registration click on "Continue".

CONTINUE

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PERSONAL DETAILS

First name*

Last name*

Hospital*

Email*

RIZIV/INAMI Number

How did you hear about us*

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SUBMIT

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CONFIRMATION

Please check your email. You should have received a confirmation email. If you can't find it in your inbox check your spam folder.

U bent succesvol ingeschreven.