REGISTER
Name
*
Email
*
RIZIV / INAMI number
I want to participate on FRIDAY
Friday 16 January 2026 - In-Person (LIVE)
Friday 16 January 2026 - ONLINE
I want to participate SATURDAY
Saturday 17 January 2026 - In-Person (LIVE)
Saturday 17 January 2026 - ONLINE
Attend dinner on Friday evening?
Yes
No
Attend welcome coffee on Saturday?
Yes
No
Do you have any dietary preferences or restrictions?
I would like to stay at the hotel (at my own expense – hotel booking to be made by the participant)
Yes
No
I consent to receive email communications about Breast Cancer Debate & Highlights 2025, including updates on future events and related content. I understand that I can withdraw my consent at any time.
YES
NO
SEND
Should be Empty: