BSONT – Group Registration Form

Admin Only - Internal Processing steps - status
Admin Only - Enter Invoice Nr
Belgian Society for Ophthalmic Nurses and Technicians

ACCESS ONLY ON FRIDAY November 27, 2026
BSONT – Group Registration Form – 2026
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 4, 2026
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
IMPORTANT: Ensure invoice details, including PO number (if required), are correct; no changes can be made to the invoice once it is submitted.
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.
Your Purchase Order Number (if applicable)
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 4, 2026. Refunds will not be granted for later cancellations or no-shows.
Should be Empty:

BSONT – Group Registration Form – 2026

PARTICIPANTS

INVOICE ADDRESS