Registration virtual discussion groups

Please fill in your name and surname:

Please fill in your email address

Please fill in your affiliation

Would you like to be involved in the next ISMRM Benelux meeting organization or the ISMRM Benelux board? (optional)
No, I am not interestedYes, I'd like to be a future committee memberYes, I'd like to be a future board member

If you answered yes in the previous question, specify what role you would like to have (optional)

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