Registration Scientific Congress

Your personal details

Salutation

First name

Last name

Suffix

Address

Postal code

City

Country

E-mail Address

Participate as Speaker?

As well as attending, you can join us to make the event even more interesting. Become a speaker!

If you have an interesting topic that you would like to share with others, please tick the box below.

If your topic fits into the programme, we will get in touch with you to discuss the further details.

I intend to hand in an abstract

Within two weeks you will get an email with further instructions for handing in your abstract.

Individual or Organisation

Registration type

Scientific Institute / University € 450,00

Patient Association € 450,00

Health care provider € 450,00

Commercial Organisation € 1.000,00

Student (PhD candidates and other pre-doctoral researchers) € 250,00

Part of Usher Syndrome Community € 450,00

Other € 450,00

Organization name

Part of the Usher Community

The conference languages are spoken English, International Sign (IS) and Dutch Sign Language (NGT). Please select your main language of communication during the conference:

English (spoken)

International Sign

Dutch Sign Language

Written English (AI Captions)

Written Dutch (AI Captions)

We have several travelgrants available that the scientific committee will specifically award to young investigators and investigators from underrepresented countries after the program has been finalized. Please tick the box if you want te apply for a travelgrant.

Yes

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Total amount to pay: € 0.00

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