Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters.

Registration form - Belgian Fusion Day 2024
Please complete this form to confirm your attendance at the conference.
There are 6 questions in this survey.
(This question is mandatory)
Last name
(This question is mandatory)
First name
(This question is mandatory)
Email
(This question is mandatory)
Job title
(This question is mandatory)
Institution / Company / Other
(This question is mandatory)
In order to ensure the smooth organization of the catering, please answer the following questions:
Will you be attending the lunch?
Will you be attending the coffee break?
Will you be attending the closing reception?