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CPM 2015 Registration Form
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* Required
First Name
*
Your answer
Last Name
*
Your answer
Affiliation
*
Your answer
Email
*
Your answer
Day of Arrival
*
Your answer
Day of departure
*
Your answer
Address
*
Street, number, city, state, postal code
Your answer
Telephone (including country code)
*
Your answer
Registration Fees
*
Regular € 475 (from April 21st)
Student € 365 (from April 21st)
Number of additional tickets for the social dinner only, € 80 each (to be paid by cash on site)
Your answer
Number of additional tickets for both dinner and excursion, € 110 each (to be paid by cash on site)
Your answer
Payment Method
*
Wire Transfer
Paypal / Credit Card
On site
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