Registration Poster Board - Next Step Master Day

Your name*

Your email address*

Name institute*

How many poster boards do you need?*

Full name Master Programme*

Name contact person - 1*

Email address - 1*

Data poster board 2

Full name Master Programme - 2*

Name contact person - 2*

Email address - 2*

Additional C2W | Mens & Molecule exposure package

Do you want the additional C2W | Mens en Molecule exposure package?*

For which master programme(s) do you want the package*

(prices are per master programme, not per institute)

Invoice data

Data needed to prepare an accurate invoice for you*

Such as unique invoice number (Budget/SAP-number), adress, e-mail adress, etc.

Additional information

e.g. Purchase order

I agree to the cost of €100 per poster board + any charges for the additional exposure package.*

If you have any questions, please do not hesistate to contact Elbrig Jansma (ejansma@kncv.nl).