Conference Application Form «Moving Forward in a Dynamic World»
Name and Last Name
Your answer
Degree
Your answer
Your work position
Your answer
Place of work
Your answer
Phone no.
Your answer
Your ZIP code and address
Your answer
Your e-mail
Your answer
Application for speaking or publishing
*Fill if intended
Presentation format
Presentation title
*Specify if intended
Your answer
Presentation summary (50 words max.)
*Fill if intended
Your answer
Name(s) of co-presenters
*Specify if there are any
Your answer
Equipment required
*Specify if there is any
Application for Accommodation
*Filled if needed
Arrival date
MM
/
DD
/
YYYY
Departure date
MM
/
DD
/
YYYY
Choose accommodation which suits you best
*Description is presented in app.2
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