Members' Registration for the EMSA Autumn Assembly 2018
1st - 7th September 2018, Cluj-Napoca/Romania

Members’ registrations (25.05. - 20.06.2018) are for all EMSA members, as well as invited guests.

The 170 € fee includes accommodation.
There is no option for "without accomodation" (as it would cost the same).

EXTRAS:

PreAA for NCs: 31.08 - 01.09. The fee is 10 € and will include accomodation (same place), the necessary materials, coffee breaks and meals (dinner on the 31st, breakfast and lunch on the 1st).

PostAA field trip: 07.09 - 09.09. The fee is 50 € and will include transportation, 2 nights of accomodation and meals (2 dinners and 2 breakfasts).

Email address *
Name *
Your answer
Surname *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Country *
If your country was missing from the list above, please specify it here
Your answer
Faculty Member Organisation (FMO) *
If your Faculty Member Organisation was missing from the list above, please specify it here:
Your answer
FMO Code: *
FMO codes are a new implemented control mechanism to verify the faculties of our members. Your faculty's six-digit unique code is required for you to be able to register to AA2018. Ask your Local Coordinators about the code and your intent to register to AA2018 in order to receive the code. Example: abcdef
Your answer
Your position in EMSA at the time of Autumn Assembly 2018 *
For carriers of proxies: Whose voting right will you carry? (For one Faculty Member Organisation, either two Local Coordinators or one proxy carrier is allowed to register at this time.)
Your answer
Phone number *
Don't forget to add your country code, e.g. +90 for Turkey
Your answer
Emergency contact *
Name, relation and phone number of your emergency contact
Your answer
Have you ever attended a European EMSA Meeting? If yes, please specify the name of the meeting(s):
Your answer
What is your motivation to attend the AA'18? (Your motivation letter will be considered for the selection process and has a limit of 250 words.) *
Your answer
Do you need an invitation letter? *
In which form do you prefer to receive your certificate of attendance? *
Next
Never submit passwords through Google Forms.
This form was created inside of EMSA Europe. Report Abuse - Terms of Service - Additional Terms