Online registration

The fields marked with a star (*) are required!
   

Contact details

 
Academic title:
Name (first name and family name)*:
E-mail address*:

 
Name of Workplace*:
Address of Workplace*:
Invoice name & address*:

Registration

 
Registration status*:
Registration fee is including coffee breaks, 2 X lunch box and Gala dinner
   

Hotel reservation

 
Accomodation*:
Nights: 16th January
17th January

Name of roommate:

Other information

 
(dietary request, VAT number etc.):