CONFERENCE REGISTRATION FORM
Fields marked with asterisk(*) are obligatory.
Email
*:
Name
*:
Surname
*:
Professional title
:
Institution
:
Address
*:
City
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Postal code
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Country
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Telephone
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Tax ID. number
(if needed for invoice):
Presentation title
(leave it empty if not presenting a talk):
Abstract
(maximum size is 1500 characters - please use plain text or leave this field empty if not presenting a talk):
Excursion to Wieliczka
on Sunday the 18th, (extra cost: 130 PLN or 35 EUR):
Yes, I will take the trip
No, I will not take the trip
Other remarks
(please indicate any important issues like being a vegetarian or the need for some special data on the invoice):