BSONT – Group Registration Form

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Send to Helga for processingAll Registered onlineLogin details emailedInvoice SentPayment Received
Admin Only - Enter Invoice Nr
Belgian Society for Ophthalmic Nurses and Technicians

ACCESS ONLY ON FRIDAY November 28, 2025
BSONT – Group Registration Form – 2025
REGISTRATION FORM FOR NURSES ONLY

All others have to organise registration directly in their individual accounts on the ophthalmologia.be website !

EARLY REGISTRATION DEADLINE – November 5, 2025
REGISTRATION FEES are indicated on the website
PARTICIPANTS

IMPORTANT we need a UNIQUE email PER PARTICIPANT, if not we return this registration form to you!
Name Participant 1

First NameLast Name
Email Participant 1
example@example.com
Name Participant 2

First NameLast Name
Email Participant 2
example@example.com
Name Participant 3

First NameLast Name
Email Participant 3
example@example.com
Name Participant 4

First NameLast Name
Email Participant 4
example@example.com
Name Participant 5

First NameLast Name
Email Participant 5
example@example.com
Name Participant 6

First NameLast Name
Email Participant 6
example@example.com
Name Participant 7

First NameLast Name
Email Participant 7
example@example.com
Name Participant 8

First NameLast Name
Email Participant 8
example@example.com
Name Participant 9

First NameLast Name
Email Participant 9
example@example.com
Name Participant 10

First NameLast Name
Email Participant 10
example@example.com
Name Participant 11

First NameLast Name
Email Participant 11
example@example.com
Name Participant 12

First NameLast Name
Email Participant 12
example@example.com
INVOICE ADDRESS
Hospital*
Contact persons name*
Email address of contact person for this list*
example@example.com
Invoice Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
VAT *
IMPORTANT Please fill in VAT no. if you are a tax payer, if not you can fill in "na" not applicable.
Make sure to enter the CORRECT INVOICE DETAILS.

The billing address mentioned here above cannot be modified after issue of the FINAL INVOICE.
CANCELLATION AND REFUNDS:

Refunds up to 75% of the advanced registration fee will be granted for cancellations received in writing (email christy@ophthalmologia.be) prior to November 5, 2025. Refunds will not be granted for later cancellation or no-shows.
Should be Empty:

BSONT – Group Registration Form – 2025

PARTICIPANTS

INVOICE ADDRESS