Registration form

NBV-members receive a discount for NBC-25.

In order to register for NBC-25, please fill in the form below.

Participation*

I want to register as a...

First name*

Suffix

(e.g. van der)

Last name*

Organization / Affiliation*

Address 1*

Address 2

Postal code*

City*

Date of birth*

Email address*

Phone number*

May our valued sponsors contact you based on your participation of the NBC congress?*

By answering Yes, you give permission to share your name and mail address with our sponsors.

Will you be joining us during dinner?*

Please note: dinner is included in the fee. We would like to have a confirmation that you are actually joining for sustainability reasons.

Do you have any food allergies? If yes, please specify.

All food is vegetarian. There are also plenty vegan options.

Comments

Payment

You are kindly requested to pay the registration fee directly via iDeal or credit card.