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Brussels 20KM Registration

Brussels 20 km registration form

Name (Mandatory)

Surname (Mandatory)

Sex (Mandatory)

Birthdate (Mandatory)

Email address (Mandatory)

Phone (Mandatory)

Estimated running time (of 20 km) (Mandatory)

Are you a member of disabled sports? (Mandatory)

Size of your T-Shirt

Nationality (Mandatory)

City

Postal code

Country

Do you wish to receive EPF newsletter? (Mandatory)

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European Patients' Forum
Chaussée d’Etterbeek 180
1040 Brussels
BELGIUM

+32 2 280 23 34

VAT number: BE-0807.605.667.

info@eu-patient.eu

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The European Patients’ Forum (EPF) is an umbrella organisation of patient organisations across Europe and across disease-areas. Our 79 members include disease-specific patient groups active at EU level and national coalitions of patients.

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