Registration for the PRIDE-RCMNS conference
When: 27-29 August 2018
Where: Museum of Georgia, Tbilisi, Georgia

Registration deadline: 1 June 2018, for persons that have a poster or talk

We will only register you if you have paid the conference fee. Please pay the conference fee within 24 hours of filling out this form. Please transfer the conference fee to our bank account - see the details on the registration page: http://wqd.nl/piZj

Publication in abstract book – If you do not register-and-pay, you will be removed from the abstract book, and if you do not come to the meeting, your abstract will be removed as well.

e-mail address *
Your answer
Ms/Mr. *
Title
First name *
Your answer
Last (family) name *
Your answer
Title / first name / family name as you would like it to appear on your badge *
Your answer
Affiliation *
Your answer
Address of affiliation
Your answer
Country *
Your answer
Affiliation as you would like it to appear on your badge
Your answer
Contribution *
Title of contribution
Your answer
Registering as *
Will you attend the icebreaker (Sunday 26/8 18.00-20.00) *
Will you attend the conference dinner (Monday 27/8) (included in the price) *
Would you like a ticket for an accompanying person for the conference dinner (50 euro extra) *
Do you have any dietary restrictions? *
Dietary restrictions
Your answer
Would you be interested in an excursion (not in the conference fee) on Thursday 30 August (price to be announced) *
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