Registration

Deadline for registration : The course is fully booked! Registration is not possible anymore. We apologize for the

inconvenience, but we hope to have another course in the future.

Your registration can only be confirmed after full payment (€ 375,00) to the following bank account number:

Pediatric Plastic Surgery Foundation, Utrecht
1496.16.082 (Rabobank)
IBAN: NL74RABO0149616082
BIC: RABONL2U
SWIFT: RABONL24

Address: Rabobank, Utrechtseweg 225, 3704HA Zeist, the Netherlands

Address: Pediatric Plastic Surgery Foundation, Biltstraat 204, 3572 BC, Utrecht, the Netherlands

Please mention “ Robin Sequence course” and "Surname"
After payment you will receive a confirmation within a week by mail.

For payment through PayPal, please click the button below.

Title
Firstname
Last name
Speciality
Hospital name
Medical Registration Number
Adress
Zipcode
City
Country
Phone
Email
Diner (yes/no)


Code