XIII GIRONA SEMINAR (April 4-6, 2018)
Participant's details
1. First name *
Your answer
2. Last name *
Your answer
3. National identity card or passport number *
Your answer
4. E-mail *
Your answer
5. Telephone number *
Your answer
6. Institution / Department *
Your answer
7. Address *
Your answer
8. Postal code *
Your answer
9. City *
Your answer
10. Country *
Your answer
Dietary restrictions
12. Dietary restrictions *
No
Yes
Do you have any allergies?
Are you vegetarian or vegan?
12b. If you have any allergies, what kind?
Your answer
Payment
13. Registration type:
* I will send a letter of the PhD supervisor to gironaseminar@gmail.com / # I will send a scan of the PhD certificate to gironaseminar@gmail.com / $ See www.gironaseminar.com/registration.html for definition of "Inclusiveness Target" Researcher
Logistics
14. Are you member of one or more of the following organizations?
15. I would like to send an abstract for consideration as
16. I would like to be considered for the Poster Prize or Contributed Talk Award
I will send a letter of the PhD supervisor or a scan of the PhD certificate to gironaseminar@gmail.com
17. Social Events. I would like to participate* in:
* all included in the registration for the conference.
18. Activities. If possible* (and at own expenses) I would like to be able to visit:
* only in case FC Barcelona plays at home in the days around the conference / # if the organitzation is able to guarantee a number of reservations
19. Culture. I would be interested in a visit (at own expenses) to:
Home address
Please give us the contact details for whom to contact in case of emergency
Name
Your answer
Telephone number
Your answer
Relationship
Your answer
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