Dutch Biotech Event 2025

Name of participant*

First NameLast Name
Organisation
E-mail (please use your work e-mail address)*
(unique, not shared with any other participant)
Job title
Phone number
Tickets (please choose only one)
prevnext( X )
Hollandbio memberCheck hollandbio.nl/leden for the up to date member list
€ Free



InviteeOnly for those who have received a personal invitation from the hollandbio team
€ Free



Non-member biotech R&DNot applicable to service providers.
€395.00



Total

€0.00
INVOICING DETAILS

Ensure that the details below are filled in correctly, so the invoice does not need to be re-issued.
Organisation fiscal name*
The fiscal name of your organisation is the paying name that appears on all invoices and other financial documents
VAT number
Invoicing e-mail*
Invoicing contact*
Invoicing address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
PO number (if relevant)
Terms and conditions*

I accept the Terms & Conditions and Privacy Statement*.
* Your personal information will be stored securely. For more information on how hollandbio uses your data please see our privacy statement.
Updates*

I agree to receive further communication from hollandbio.
Newsletter

I subscribe to the BITE - The newsletter of the Dutch biotech industry (every Wednesday)
Please verify that you are human*
Hidden Variables (Please adapt them for each event, do not delete)
Invoice Mention 1
Please put the name of the event here, it will be printed in the invoice
List ID on HubSpot
Please put the list id of HubSpot here. You should create a static list in HubSpot and then put the number present in the URL here. This will add all registered participants to the list in HubSpot.
Invoice Prefix
This is the prefix of Invoice for each event.
Hidden Variables (Please do not change do not delete)
Tax Name
Tax Rate
Invoice Mention 2
No invoice in case of free tickets
No invoice
Total Amount
Bite Subscription
Bite Subscription Copy Value
Should be Empty:

INVOICING DETAILS

Hidden Variables (Please adapt them for each event, do not delete)

Hidden Variables (Please do not change do not delete)