Registration to ERPOS-12 2011

Deadline is 20 April 2011

Mandatory fields are marked with a (*)

(*) Participant:

Title
(*) Name
Middle name
(*) Surname

Affiliations:

(*) Contact Email:

(*) Presentation
form:

Poster presentation
Oral presentation

(*) Payment type:

Regular (300€ before 1 June, 350€ after 1 June)
Student (150€ before 1 June, 180€ after 1 June)
Student + dinner (200€ before 1 June, 230€ after 1 June)

Accompanying
persons:

add 100€ per accompanying person to your registration fee

How to pay

Comments:

This message will only be seen by the program chair(s).