XLII. Chemistry symposium (28-30 October 2019. Szeged)
Application form
Name *
Your answer
Affiliation and scientific title *
Your answer
Workplace *
Your answer
E-mail address *
Your answer
Phone number *
Your answer
Are you a member of the Hungarian Chemical Society? *
Language of presentation *
Title of Presentation *
Your answer
Topic of the presentation *
Do you wish to participate in the conference dinner (7 pm. on Monday 28th October)? *
Do you require a final invoice? *
Exact name of the person or institution covering the conference fee *
Your answer
Exact billing address *
Your answer
Tax number *
Your answer
Postal address (in case it is different from the billing address) *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service