MRtrix Workshop Registration

First name: *

Last name: *

Email address: *

Affiliation: *

Address: *

City: *

Country: *

Rate: * Student (€ 500) Academic (€ 800) Industry (€ 1200)

Preferred payment method: * Credit/debit card Invoice
(Please note that we will not be able to send you an invoice later if you pay by card.)

I am a PhD student at the KU Leuven Arenberg Doctoral School (Science & Technology).

I request a letter of support for a travel visa application.

Dietary preferences:

Do you have any comments or requests?

* I accept the General Terms and Conditions for Continuing Education at KU Leuven.

Register now!