Registration Form

 
    Personal data
Family Name Title(s)
First Name    
 
Institute ID
Street and No. VAT ID
City ZIP
 
E-mail Phone
 
    Conference contribution
Form of contribution:             Oral             Poster             None
Please complete: a title of contribution, authors, key words (3-5), annotation (max. 100 words).
 
    Presentation of company
Form of presentation:       Advertising in proceedings     Distribution of promotional material
                    Poster                                     Tabletop exhibit space
 
    Accomodation requests
This is a binding reservation of accommodation in the My hotel. I am fully aware of the obligation to pay the cancellation fees in case of cancellation of my participation.
 
From   Single room
To   Double room shared with
 
    Notes, remarks