Registration Form

Please register now to attend the upcoming webinar 'Prevention of Hepatitis B and C'.

The webinar is planned on Monday, 16 October 2017, 15:00 - 16:30 CEST (Brussels, Berlin, Paris time). The registration will close on Friday, 13 October, 16:00 CEST.  

You will receive a confirmation email with instructions for registration with the webinar online system and access details shortly after the closing date to register.

Full name

Question Title

* 1. Full name

Your email address

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* 2. Your email address

Country

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* 3. Country

Motivation to attend the webinar

Question Title

* 4. Motivation to attend the webinar

How much knowledge on prevention of Hepatitis B and C do you have?

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* 5. How much knowledge on prevention of Hepatitis B and C do you have?

Do you have any questions that you would like to ask the speaker in advance?

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* 6. Do you have any questions that you would like to ask the speaker in advance?

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