Personal Information

Name^*

Email^*

Affiliation^*

Accommodation Information

Arrival date^*

Departure date^*

Room type^* -- select -- Single Double Triple

Name of the roommates (if room type selected is double or triple)

Dietary restrictions and allergies

Accessibility needs

Billing Information

Bill to (You may leave it blank if your institution does not require an invoice)

Bill adress

VAT number

Privacy statement
Personal information submitted with your registration will be used only for the purposes of this event. All personal information will be retained for the period necessary to comply with all administrative and legal obligations. Name and affiliation may be retained indefinitely and displayed online for historical reasons.

By registering you accept this privacy statement and the terms of our Privacy Policy.

I agree^*

Do you accept your name and affiliation to be listed online under registered participants?^* yes
no

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