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Registration form for the 8th Gewina Woudschoten conference, 21 and 22 June 2019, in Zeist, the Netherlands.
Name (as it should appear on programme and name tag)
Home institution (as it should appear on programme and name tag):
I hereby register for the 8 th Gewina Woudschoten conference, 21 and 22 June 2019 in Zeist,the Netherlands, and declare that I will pay the appropriate conference fee before 8 May 2019 using the payment details below.
a Gewina member, student – I pay 100 euros
a Gewina member, regular – I pay 130 euros
a student, not member of Gewina – I pay 135 euros
None of the above - I pay 175 euros
Account holder: Gewina
IBAN: NL73 INGB 0000 0913 41
Quoting: Woudschoten 8
I consent with Gewina registering my details for this conference. Gewina will only use thesedetails to organize the conference, and will not share them with other parties under anycircumstances.
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