Conference registration form

Personal
Family name	*
Titles
First name	*
My name can be listed on the particpants list on the web	Yes No
Email address	*
Affiliation
Organisation/Institute	*
Address	*
Postal code	*
City	*
Country	*
Telephone
Conference subscription *
Registration fee	€50
LNMB PhD arrangement is not available after 10 December	€375
LNMB PhD arrangement is not available after 10 December	€60
I will attend the conference on Monday (incl. coffee, tea and lunch)	€52
I will attend the conference on Tuesday (incl. coffee, tea and lunch)	€52
I will attend the seminar on Wednesday (incl. coffee, tea, lunch and drinks)	€63
I will attend dinner on Monday	€49
I will attend dinner on Tuesday	€49
There are no more rooms available for registrations after 10 December	€110
There are no more rooms available for registrations after 10 December	€110
There are no more rooms available for registrations after 10 December	€80
There are no more rooms available for registrations after 10 December	€80
Total amount	€0
In case of a roommate, roommate's name
Security
Enter the 4 characters in the field
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