OB 2026 Congress Dinner

Congress DINNER – Order Form –

SUBMISSION DEADLINE: 11th November 2026 OR until tickets sell out.

Date: Thursday, 26 November 2026

Time: 19:00 - 01:00

Venue: Le Plaza Hotel Brussels, Adolphe Maxlaan 118/126, 1000 Brussel, Belgium.

Price per ticket: 100 EUR

Please note that the Industry can only buy tickets for its staff. Tickets can not be used to distribute to ophthalmologists as a commercial gesture to non-congress participants.

PLEASE SELECT THE NUMBER OF TICKETS YOU WANT TO ORDER:

Tickets ordered for the company :

Company Name

Name contact person ordering these tickets

Contact person first nameContact person last name

Contact Person Email

example@example.com

INVOICE ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Purchase Order Number if needed:

IMPORTANT:
Ensure the invoice details are correct; once submitted, the invoice cannot be changed.