IUVSTA71 Registration Form

On-line Registration

Fill in the following form.
Check the contents and press <Submit> button.
Confirmation page will be displayed and confirmation e-mail will be sent automatically to your mail address.
If you do not receive the confirmation mail after several hours, please contact the organizers. Do not re-submit this form to prevent multiple registration.
Cancellation or amendment of the registration is also accepted via e-mail to the organizers.
To guarantee your participation, payment of the conference fee is due until June 15th 2013 (refund upon cancellation will not be possible).Registration without receipt of payment at this date will be automatically cancelled.

Instructions for paying the conference fee.

[*] marked items are required fields and should not be empty.
Please use Unicode (UTF-8) Character Encoding with your Browser. (Otherwise only 7-bit US-ASCII characters will be treated correctly.)

*Conference participant []:**	Male Female
*Title []:**
*Family name []:**
*Given name []:**
Middle name:
*E-mail []:**
Affiliation:
Postal mail address:
Zip code & City:
*Country []:**
Phone:
Fax:

Number of accompanying persons:		(if more than one please send details per e-mail.)
Accompanying person:	Male Female
Name of accompanying person:

I would like to share my room with:		(Most participants will be granted a single room, if the available single rooms are exhausted you will be assigned a double room with a room mate indicated here)

*Arrival day []:**	Sunday, June 23rd, 2013 (extra fee !) Monday, June 24th, 2013
Other

Menu style :	regular vegetarian vegan

Title of contribution:
Prefered type of presentation:	poster oral
(an abstract will be due until May 22, 2013)

iuvsta71/registration_form.1368553218.txt.gz · Last modified: 2013-05-14 19:40 by Wolfgang Werner