BIR 2019 Registration
Please use this form to inform us about your intention to register for BIR2019
Sign in to Google to save your progress. Learn more
Last Name *
First Name *
Registration type *
Number of additional articles
Number of additional participants
Additional ticket for conference dinner (150 PLN) or main conference participants only
Dietary preferences or restrictions
Primary workshop for workshop participants and if you plan to participate in workshops on Monday
Clear selection
Affiliation *
Address *
Postal code *
City *
Country *
Additional information  e.g. names of additional guests, venue accessibility, etc.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Uniwersytet Ekonomiczny w Katowicach.

Does this form look suspicious? Report