4^th Belgian Heart Rhythm Meeting
'ARRHYTHMIAS FOR EVERY CARDIOLOGIST'

Sheraton Brussels Airport Hotel & Congress Centre
Thursday 30^th - Friday 1^st October 2010

Participant Data

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Initials

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Telephone (e.g. 027323520)*

Fax (e.g. 027368930)

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Special Needs/
Dietary Requirements:

Registration fee*	06-04-2010/ 01-10-2010

BeHRA Member	EUR	75.00
BeHRA non member	EUR	100.00
Student/fellow/allied professional	EUR	25.00