Dutch Translational Metabolism Meeting Registration
10-11 March, 2020
De Werelt, Lunteren
Contact us at translationalmetabolism@amc.nl

Note: Please be prepared to fill all financial information required, including the address of your organization’s financial department, budget numbers, or purchase orders. This is needed to generate an invoice.
Email address *
Basic Information
First Name *
Your answer
Last Name *
Your answer
Gender *
Phone number *
Your answer
Twitter handle
Your answer
Organization *
Your answer
Department
Your answer
Position *
Housing and Meals
**ROOMING IS CURRENTLY FULL - REGISTRATION WILL NOT INCLUDE THE OVERNIGHT STAY AND YOU WILL BE PLACED ON A WAITING LIST FOR A ROOM**

Please note - priority for single rooms will be given to PIs and eventually Post-docs.
Do you wish to be added to the waiting list for rooms as they become available? *
Do you prefer to stay in a single or double room? *
If you chose double room, please indicate if there is a person you'd prefer to share with:
Your answer
Dietary restrictions *
Abstract submission
Abstract submission guidelines:
If you plan to present a traditional research story, please include background, aim, results and discussion. If you plan to present a research plan, this may be limited to background and aim. The translational nature and/or implications of the research should be clearly stated.
Please choose one of the following: *
Required
Abstract Title
Your answer
Authors
Your answer
Abstract text (max. 200 words)
Your answer
In one sentence, please describe the translational value of your research:
Your answer
Financial
If you wish the invoice to be sent to your department's financial office, please provide their information here.
Where should we send the invoice for your registration costs? *
If you chose other, please provide us the relevant contact information:
Billing email address
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Billing mailing address
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If your organization requires specifications to be listed on an invoice, please include those here: (ie purchase order numbers, budget numbers, etc.)
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A copy of your responses will be emailed to the address you provided.
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