REGISTRATION Title First Name Last Name E-mail Address Mobile number Institution Department How do you best describe yourself?Resident in hematologyDiagnosticianConsultant in hematologyOther Are you planning to stay at the Hotel Crowne Plaza?YesNoarival departure Please insert the way of paymentBank transferCredit card paymentAre you planning to stay to another hotel nearby Hotel Crowne PlazaYesNoPlease confirm whether you will be attending the Social dinner at Restaurant on 15th NovemberYesNoSocial dinner preferenceMeatFishVegeterianDo you have any special dietary requirements?YesNo Only fill in if you are not human
