BBMEC12 registration form

First name*

Last name*

Email*

Mobile phone

Institution

Address*

City*

Country*

Presentation*

None

Oral

Poster

Author(s)

Title of presentation

Keywords

not more than 4

Choose your fee, depending on payment date

♢ in case of a single discounted registration for three regular participants we need this form in three copies filled individually. Individual invoices will be issued.

¹ IAEAC members are entitled to a 25% discount if registered before 30/06/2017

² Student participants must submit a copy of their student ID card to be eligible for the student discount

³ Manufacturers or publishers are invited to take part in the exhibition of instruments or books (registration fee: 800 Euro before 30/06/2017, including free participation for 2 persons) and to contact the Chairman of the Symposium a.s.a.p.