Registration

You are registering as(Required)

MPN Advocates Network member

Steering committee member

Speaker

Representing a sponsor

MPN Advocates Network member

Are you (Check with your patient Organisation leader)(Required)

1st Delegate

2nd Delegate

3rd Delegate

MPN Advocates Network member - 1st Delegate

Has your Organisation submitted your MPN Activity report(Required)

Yes

Please proceed with your registration, and our team will get in touch with you to discuss your MPN-related activities.

First Name as written in passport(Required)

Last Name as written in passport(Required)

Title(Required)

Passport number(Required)

Passport issue date(Required)

MM slash DD slash YYYY

Passport expiry date(Required)

MM slash DD slash YYYY

Date of birth(Required)

MM slash DD slash YYYY

Nationality(Required)

How would you like your name to appear on the name tag?(Required)

Country where you live?(Required)

Email Address(Required)

Mobile No.(Required)

Name of the Patient Organisation you are representing(Required)

The position you represent within your Patient Organisation(Required)

Which city would you like to depart from?(Required)

What date would you like to travel from your origin city?(Required)

MM slash DD slash YYYY

Which destination city would you like to return to?(Required)

Which date would you like to return to your destination?(Required)

MM slash DD slash YYYY

Any dietary requirements?

Please state

Would you like to participate in the city tour?(Required)

Yes

Would you join us for Friday dinner?(Required)

Yes

Would you join us for Saturday off-site dinner?(Required)

Yes

Will you be travelling with a companion?(Required)

Yes

(Please take note that your companion will need to pay for a Double Room surcharge of €28,50 per night direct to the hotel. Please note that a charge will apply for accompanying persons who attend the group dinners on Friday and Saturday evenings. Details of the dinner fees will be shared in due course)

Companion First Name(Required)

Companion Last Name(Required)

I am interested in displaying a poster(Required)

Yes

I consent to photos and video taken during the conference to be displayed on social media and MPN AN website.(Required)

Yes

MPN Advocates Network member - 2nd Delegate

First Name(Required)

Last Name(Required)

Title(Required)

How would you like your name to appear on the name tag?(Required)

Country where you live?(Required)

Email Address(Required)

Mobile No.(Required)

Name of the Patient Organisation you are representing(Required)

The position you represent within your Patient Organisation(Required)

Any dietary requirements?

Please state

Would you like to participate in the city tour?(Required)

Yes

Would you join us for Friday dinner?(Required)

Yes

Would you join us for Saturday off-site dinner?(Required)

Yes

Will you be travelling with a companion?(Required)

Yes

Companion First Name(Required)

Companion Last Name(Required)

Poster Submission(Required)

I confirm my Organisation will submit a poster

I will not submit a poster and confirm to pay €1,400.00 Conference fee

I consent to photos and video taken during the conference to be displayed on social media and MPN AN website.(Required)

Yes

MPN Advocates Network member - 3rd Delegate

First Name(Required)

Last Name(Required)

Title(Required)

How would you like your name to appear on the name tag?(Required)

Country where you live?(Required)

Email Address(Required)

Mobile No.(Required)

Name of the Patient Organisation you are representing(Required)

The position you represent within your Patient Organisation(Required)

Any dietary requirements?

Please state

Would you like to participate in the city tour?(Required)

Yes

Would you join us for Friday dinner?(Required)

Yes

Would you join us for Saturday off-site dinner?(Required)

Yes

Will you be travelling with a companion?(Required)

Yes

Companion First Name(Required)

Companion Last Name(Required)

I am interested in submitting a poster(Required)

Yes

Consent(Required)

I confirm to pay the €1,400.00 Conference fee invoice that will be issued to me upon my registration(Required)

I consent to photos and video taken during the conference to be displayed on social media and MPN AN website.(Required)

Yes

Steering committee member

First Name as written in passport(Required)

Last Name as written in passport(Required)

Title(Required)

Passport number(Required)

Passport issue date(Required)

MM slash DD slash YYYY

Passport expiry date(Required)

MM slash DD slash YYYY

Date of birth(Required)

MM slash DD slash YYYY

Nationality(Required)

How would you like your name to appear on the name tag?(Required)

Country where you live?(Required)

Email Address(Required)

Mobile No.(Required)

Name of the Patient Organisation you are representing(Required)

The position you represent within your Patient Organisation(Required)

Which city would you like to depart from?(Required)

What date would you like to travel from your origin city?(Required)

MM slash DD slash YYYY

Which destination city would you like to return to?(Required)

Which date would you like to return to your destination?(Required)

MM slash DD slash YYYY

Any dietary requirements?

Please state

Would you like to participate in the city tour?(Required)

Yes

Would you join us for Friday dinner?(Required)

Yes

Would you join us for Saturday off-site dinner?(Required)

Yes

Will you be travelling with a companion?(Required)

Yes

Companion First Name(Required)

Companion Last Name(Required)

I am interested in displaying a poster

Yes

I consent to photos and video taken during the conference to be displayed on social media and MPN AN website.(Required)

Yes

Speaker

First Name as written in passport(Required)

Last Name as written in passport(Required)

Title(Required)

Passport number(Required)

Passport issue date(Required)

MM slash DD slash YYYY

Passport expiry date(Required)

MM slash DD slash YYYY

Date of birth(Required)

MM slash DD slash YYYY

Nationality(Required)

How would you like your name to appear on the name tag?(Required)

Country where you live?(Required)

Email Address(Required)

Mobile No.(Required)

Which city would you like to depart from?(Required)

What date would you like to travel from your origin city?(Required)

MM slash DD slash YYYY

Which destination city would you like to return to?(Required)

Which date would you like to return to your destination?(Required)

MM slash DD slash YYYY

Any dietary requirements?

Please state

Would you like to participate in the city tour?

Yes

Would you join us for Friday dinner?(Required)

Yes

Would you join us for Saturday off-site dinner?(Required)

Yes

Will you be travelling with a companion?(Required)

Yes

Companion First Name(Required)

Companion Last Name(Required)

I consent to photos and video taken during the conference to be displayed on social media and MPN AN website.(Required)

Yes

Representing a sponsor

First Name(Required)

Last Name(Required)

Name of the Company you are representing(Required)

The position you represent within your Company(Required)

Title(Required)

Country where you live?(Required)

How would you like your name to appear on the name tag?(Required)

Email Address(Required)

Mobile No.(Required)

Any dietary requirements?

Please state

Would you like to participate in the city tour?

Yes

Would you join us for Friday dinner?(Required)

Yes

Would you join us for Saturday off-site dinner?(Required)

Yes

Will you be travelling with a companion?(Required)

Yes

Companion First Name(Required)

Companion Last Name(Required)

I consent to photos and video taken during the conference to be displayed on social media and MPN AN website.(Required)

Yes

Registration

MPN Advocates Network member

MPN Advocates Network member - 1st Delegate

MPN Advocates Network member - 2nd Delegate

MPN Advocates Network member - 3rd Delegate

Steering committee member

Speaker

Representing a sponsor

Useful links

Conference organizers

MPN Horizons Conference 2026

Conference organizers