CPM 2015 Registration Form
First Name *
Last Name *
Affiliation *
Email *
Day of Arrival *
Day of departure *
Address *
Street, number, city, state, postal code
Telephone (including country code) *
Registration Fees *
Number of additional tickets for the social dinner only, € 80 each (to be paid by cash on site)
Number of additional tickets for both dinner and excursion, € 110 each (to be paid by cash on site)
Payment Method *
Submit
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