Regular participant registration form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please fill in this form if you want to attend the IWMCG-11 workshop or IMSCG-1 School and pay the fee by bank transfer.

Gender *

Female

Male

Other

Prefix *

First name *

Last name *

Email address *

University/Institute/Company: *

Position

Street address *

Street number *

City *

State/Province *

ZIP/Postal Code *

Country *

VAT number (if it's required for the invoice)

Food *

Regular

Vegan

I am coming with an accompanying person (+150 EUR) *

Yes

Please choose the registration option for ISMCG 1 School *

450 EUR - Regular participant ISMCG 1 School (double room)

350 EUR - Regular participant ISMCG 1 School

600 EUR - Regular participant ISMCG 1 School (single room, limited number)

I am a lecturer at the ISMCG 1 School

I am not attending the ISMCG 1 School

Please chose the Registration IWMCG 11 Workshop
*

450 EUR - Regular participant IWMCG 11 Workshop

I am not attending the IWMCG 11 Workshop

Comments...

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Universitatea de Vest din Timișoara.

Does this form look suspicious? Report