Registration form

Please register for the lolaHESG 2017 conference to be held on 11-12 May 2017 at Zalmhuis in Rotterdam via this online registration form. After having filled out the form below, you will be redirected to the payment system. Please note that your registration is only complete after paying the conference fee.

Conference fee(s)

Early bird (up until 29 March 2017)  € 275,--
Regular fee (as of 30 March 2017)  € 295,--

Payment is possible via Ideal, Paypal and or Creditcard (Visa/Mastercard).
Please note the conference fee is not negotiable.

Cancelation

Should you - by any chance - need to cancel your registration, a cancelation fee will be charged (depending on the moment of your cancelation).

More information | Contact

Should you need more information concerning your registration or payment, please contact the local organising committee via lolahesg@remove-this.bmg.eur.nl .

 

Title
Firstname *
Prefix
Surname *
Date of birth (dd-mm-y)
Email *
Organisation *
Phone

Would you like to be chair for one of the topics?
*
Any
Health and its value
Efficiency and equity
Determinants of health and ill-health
Public health
Health and the economy
Health statistics and econometrics
Demand for health and health care
Medical insurance
Supply of health services
Human resources
Markets in health care
Economic evaluation
No
Would you like to be discussant for one of the topics?
*
Any
Health and its value
Efficiency and equity
Determinants of health and ill-health
Public health
Health and the economy
Health statistics and econometrics
Demand for health and health care
Medical insurance
Supply of health services
Human resources
Markets in health care
Economic evaluation
No

The local organising committee has made arrangements for hotel accomodations for all guests.
Would you like to make use of the hotel accomodation (which is always included in conference fee)? *

Please indicate if you have any allergies or dietary requirements?
Please indicate if you have special needs.

* Mandatory

Contact

Please direct any questions you might have concerning the lolaHESG 2017 conference to the local organising committee via e-mail lolahesg@remove-this.bmg.eur.nl