Online Registration

Surname

First name(s)

Your email

Date of birth

Place of birth (city, country)

Nationality

Title
M.Ms.Dr.Prof.Dipl. Ing.

Institution name

Institution city, country

Vegetarian diet
YesNo

Allergies

I will attend the Gala Dinner on Tuesday, the 28^th of November.
YesNo

I would like to participate to the ISL lab tour on Wednesday 29^th of November, in the afternoon
YesNo

I am
Regular (450 €)Student (350 €)Accompanying person (150 €)

I consent to the processing of my personal information in the context of the event organization and of the business relationship that may arise. ^1
1 You can withdraw your consent at any time in written form (a short e-mail is sufficient).

Veuillez laisser ce champ vide.

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