25th Annual BSMO meeting 2023 Welcome to the registration module IMPORTANT DEADLINES: By 2 January: registration deadline for BSMO members that want to take advantage of a complimentary hotel room. After this date complimentary hotel rooms for members will be upon availability. By 30 January: registration and payment deadline for all. It is only possible to register online. BSMO members and invited speakers are entitled to free participation in the meeting + social programme and complimentary hotel room incl. breakfast and city tax on Friday night NON-members are entitled to free participation in the meeting. However a fee of EUR 75,00 will be charged for the participation in the social programme on Friday evening. No complimentary hotel reservation. For hotel reservations, non members must book and pay directly with the hotel via this link and booking code BSMO23 by 2 January 2023 For questions regarding registration, please contact Mrs Mieke Akkers by e-mail: meeting@bsmo.be PreviousStartPersonal & billing informationI confirm I am BSMO member NON-member an invited speakerTitle Prof Dr Mr Mrs MsFirst name Last Name Email Organisation/institute Department Function – Select –Doctor/specialistResident in trainingGeneral practitionerMedical studentOncocoachResearcherOncology nurseOtherSpecialty – Select –Medical OncologistRadiation OncologistOncologic SurgeonHaematologistUrologistField of interest – tumor sites – Select –Breast cancerCarcinoma of unknown primary siteCNS malignanciesEndocrine cancersGI cancersGenitourinary cancersGynaecological malignanciesHaematological malignanciesH&N cancersLung and other thoracic tumorsMelanoma and other skin turmorsSarcomasAddress for receipt of paymentStreet+Nr City Zip Code Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSão Tomé and PríncipeSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweVAT number RIZIV / INAMI number – if not applicable type 0 (zero) PreviousNextRegistration detailsClearly indicate below which days you will come to Hasselt. I will attend the lectures on Friday 3 February 2023 the lectures on Saturday 4 February 2023PreviousNext Social programmeNon-members are entitled to free participation in the meeting. However a fee of EUR 75,00 per person will be charged for the participation in the social programme on Friday eveningPlease select the relevant option below I will attend the FULL social programme on Friday evening (walk+dinner) I will attend ONLY the guided walk on Friday evening I will attend ONLY the congress dinner I will NOT attend the social programme on Friday eveningI will bring my partner Yes NoPartner First Name Partner Last Name PreviousNextSocial programme payment NON-members are entitled to free participation in the meeting. However a fee of EUR 75,00 per person will be charged for the participation in the social programme. Social programme fee NON-member Price: 75 €Social programme fee NON-member PARTNER Price: 75 €Total fee for social programme €PreviousNextHotel reservation RESERVATIONS MUST BE RECEIVED BY 2 JANUARY. AFTER THIS DATE COMPLIMENTARY HOTEL ROOMS ARE UPON AVAILABILITY BSMO covers the costs for your accommodation (including breakfast and city tax) in Radisson BLU Hasselt for 1 night* being Friday night 3 February 2023. Extra costs are at your personal expense.Hotel Room Reservation Yes, please book me a SINGLE room in Radission BLU Hasselt for Friday night Yes, please book me a DOUBLE room in Radission BLU Hasselt for Friday night No, I do not require a hotel room reservation *Additional nights can be booked by contacting the hotel directly: reservations.hasselt@radissonblu.comHotel reservation RESERVATIONS MUST BE RECEIVED BY 2 JANUARY. AFTER THIS DATE COMPLIMENTARY HOTEL ROOMS ARE UPON AVAILABILITY BSMO covers the costs for your accommodation (including breakfast and city tax) in Radisson BLU Hasselt for 1 night* being Friday night 3 February 2023. Extra costs are at your personal expense.Hotel Room Reservation Yes, please book me a SINGLE room in Radission BLU Hasselt for Friday night Yes, please book me a DOUBLE room in Radission BLU Hasselt for Friday night No, I do not require a hotel room reservation *Additional nights can be booked by contacting the hotel directly: reservations.hasselt@radissonblu.comHotel reservation NON-members are entitled to free participation in the meeting. No complimentary hotel reservation. For hotel reservations, non members must book and pay directly with the hotel via this link and booking code BSMO23 by 2 January 2023PreviousNextDietary requirements Vegetarian Vegan Lactose intolerant Gluten free OtherOther Dietary requirements Dietary requirements partner for Friday evening dinner Vegetarian Vegan Lactose intolerant Gluten free OtherOther Dietary requirements Physical requirements: If you require special facilities to participate in the meeting, please send a detailed description of your needs to meeting@bsmo.beGDPR: I allow the organizers of this meeting to keep and use my personal data for mailings on future BSMO activities Yes NoHow did you learn about this BSMO meeting: BSMO mailings BSMO website My institute/colleague Commercial company/SponsorPreviousNextPaymentTotal amount that BSMO will charge you via Mollie € Previous SUBMIT REGISTRATION
