Registration

------------CONTACT INFORMATION -------------
First Name

Family Name

Email

Affiliation

Professional address (required for your invoice)

City

Postal code

Country

-----------ACCOMMODATION -----------------------------

Your arrival date*

*An early arrival is possible Sunday 27th in the afternoon

Lunch on your arrival day
yesno

Dinner on your arrival day
yesno

Your departure date

Lunch on your departure day
yesno

Dinner on your departure day*
yesno

*no dining-option on the last day Dec-2st

Participation to the gala dinner on Wednesday
yesno

Accommodation
A single roomno room

You will pay by
Bon de commandeCredit card

Special needs for your stay


-----------------TALK ------------------------------------
You will give a talk
yesno

Preferably on
MonThueWedThurFri