WiP Registration form

Please fill in this form and submit it before February 21, 2008

Title  

Family Name  

Given name  

Affiliation  

Affiliation short-name (for badge info)  

Address  

Address cont.  

Post-code  

City  

Country  

E-mail  

Phone  

Fax  

Arrival date  

Departure date  

 

Research field that you work on (free form)

 

Payment info

Please proceed to the payment procedure after or in parallel to the submission of this form.
(Please note that the registration will be considered as valid only if it will be followed by the payment procedure - with the exception of the lecturers).

Post-deadline registration still possible

Post deadline registration fees:
Student fee: 350 EUR
Non-student fee: 500 EUR

Payment can be done by

Please indicate below the method of your registration fees payment
I will pay (have payed) by