BSMO Registration form 202527th Annual BSMO meeting 2025 Bruges – 31 January & 1 February 2025 Welcome to the registration module IMPORTANT DEADLINES: By 3 January: registration deadline for BSMO effective members and junior members-in-training (dues paid for 2024) that want to take advantage of a complimentary hotel room. Subject to availability. First-come, first-served. After this date complimentary hotel rooms for members will be upon availability. By 27 January: registration deadline and payment deadline for all. It is only possible to register online. BSMO effective members, junior members-in-training (dues paid for 2024) 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. Subject to availability. First-come, first-served. Special members (= undergraduate students, emeritus, associate & corporate members) are entitled to free participation in the meeting + social programme . No complimentary hotel reservation. Special members (excl. Junior MiT) must arrange for their personal hotel reservation. Information on hotels in Bruges can be found here. NON-members are entitled to free participation in the meeting. There are no spots left for non-members for the social programme on Friday evening. No complimentary hotel reservation. Non-members must arrange for their personal hotel reservation. Information on hotels in Bruges can be found here. Company representatives of companies NOT supporting BSMO 2025 can sign up and attend the general scientific sessions that are open to all. However a fee of EUR 250,00 per day will be charged. Participation in the social programme on Friday evening is not allowed. No complimentary hotel reservation. Maximum 2 persons per company. Information on hotels in Bruges can be found here. Cancellation policy cancellations of confirmed hotel room reservations for BSMO effective and Junior MiT members are free of charge provided the cancellation is received before 2 January 2025. After this date a cancellation fee of 100 EUR will be charged to the guest/member that cancels cancellations of confirmed registrations must be confirmed by e-mail to meeting@bsmo.be before 12 January 2025 after this date BSMO regrets that they are unable to refund any fees replacements of confirmed registrations are permitted – please send a written request to meeting@bsmo.be For questions regarding registration, please contact Mrs Mieke Akkers by e-mail: meeting@bsmo.be PreviousSTART YOUR REGISTRATION HEREPersonal & billing informationI confirm I am BSMO effective member 2024 BSMO junior member in-training 2024 BSMO special member 2024 NON-member (not company representative) an invited speaker a company representative NON SPONSORTitle Prof Dr Mr Mrs MsFirst nameLast nameEmailOrganisation/institute/companyDepartmentFunction– Select –Doctor/specialistResident in trainingGeneral practitionerMedical studentOncocoachResearcherOncology nurseOtherSpecialty– Select –Medical OncologistRadiation OncologistDigestive oncologistOncologic surgeonHaematologistMain field of interest – tumor site– Select your answer –Breast cancerCarcinoma of unknown primary siteCNS malignanciesEndocrine cancersGI cancersGenitourinary cancersGynaecological malignanciesHaematological malignanciesH&N cancersLung and other thoracic tumorsMelanoma and other skin tumorsSarcomasAddress for receipt of paymentStreet+NrCityZip CodeCountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican 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 RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi 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 numberRIZIV / INAMI number – if not applicable type 0 (zero)PreviousNextRegistration detailsClearly indicate below which days/parts you will attend our meeting in Bruges. I will attend the lectures on Friday 31 January 2025 the morning lectures on Saturday 1 February 2025 the YOC session on Saturday 1 February 2025 PreviousNext Social programme Participation in the social programme on Friday evening 31 January is included in the registration of all BSMO members excluding special corporate members. Non-members are entitled to free participation in the scientific meeting. Corporate members and company representatives cannot take part in the Friday evening programme.Please select the relevant option below I will attend the social programme on Friday evening I will NOT attendI will bring my partner Yes NoPartner First NamePartner Last NamePreviousNextSocial programme payment Company representative fee for participation on Friday 31 January 2025Price: 250 €Company representative fee for participation on Saturday 1 February 2025Price: 250 €Total fee to pay€PreviousNextHotel reservation RESERVATIONS MUST BE RECEIVED BY 3 JANUARY. FIRST-COME, FIRST-SERVED. AFTER THIS DATE COMPLIMENTARY HOTEL ROOMS ARE UPON AVAILABILITY BSMO covers the costs for your accommodation (room including breakfast and city tax) for 1 night* being Friday night 31 January 2025. Extra costs and extra nights are at your personal expense.Hotel Room Reservation Yes, please book me a SINGLE room for Friday night Yes, please book me a DOUBLE room for Friday night No, I do not require a hotel room reservation *Additional nights can be booked by contacting the hotel directly: salesco@cpbrugge.comHotel reservation Special members (undergraduate students, emeritus, associate & corporate members) are entitled to free participation in the scientific meeting. No complimentary hotel reservation is offered. Special members must arrange for their personal hotel reservation. Information on hotels in Bruges can be found here.Hotel reservation NON-members are entitled to free participation in the scientific meeting. No complimentary hotel reservation. Non-members must arrange for their personal hotel reservation. Information on hotels in Bruges can be found here.PreviousNextDietary requirements Vegetarian Vegan Lactose intolerant Gluten free OtherOther Dietary requirementsDietary requirements partner for Friday evening dinner Vegetarian Vegan Lactose intolerant Gluten free OtherOther Dietary requirementsPhysical requirements: If you require special facilities to participate in the meeting, please send a detailed description of your needs to meeting@bsmo.beGDPR approval: I allow the organizers of this meeting to keep and use my personal data for mailings on future BSMO activities Yes NoMailing list: I allow the organizers of this meeting to pass on my name and email address to the sponsors of this Annual BSMO Meeting 2025 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
