BGDO MEMBERSHIP 2017

Online Registration

 
 
 


In order to join the BGDO, please complete this form on line.

* required
 
 
  to the BGDO account number BE63 3400 2014 3908 - Bic = BBRUBEBB
to the order of BGDO: Leuvensesteenweg 643, 1930 Zaventem.
with mention of your name, surname,"BGDO membership 2017" and e-mail.
   
 
 
 
Invoice Details If necessary fill in, after payment an invoice will be sent to the below contact details.
I agree that the BGDO informs me about activities and information of interest through the indicated e-mail address.
Date :

Type the characters you see in the picture below.
 

Privacy: As BGDO Belgian Group of Digestive Oncology  a.s.b.l./v.z.w. gather personal information, she shall do so in accordance with the provisions of the Belgian Data Protection Act of 8 December 1992, as amended by the Act of 11 December 1998 transposing the EC directive 95/46/EC of 24 October 1995.
The collected data are reserved for the use of BGDO in order to realize his goals mentioned in the statutes, to inform his members, and for legal reason. Those data will not be transmitted to other without permission.