Registration PARTICIPANTS
20th International Symposium on Chironomidae
MUSE - Museo delle Scienze, Trento - Italy
2-8 July 2017

(* necessary fields)

PERSONAL DATA


Title

* First name

Middle name

* Last name

AFFILIATION OR ADDRESS


Institution or Society

Department

Working group or lab

* Address

* ZIP postal code

* City

* Country

* E-mail address

I am a student

If you are a student, please provide the e-mail address of a Supervisor who can
confirm student status at request

* Supervisor e-mail address

PARTICIPATION AND COSTS


* I intend to participate in

20ISC FULL LATE | 400 Euro

20ISC ONE DAY LATE | 145 Euro

20ISC FULL LATE STUDENT | 265 Euro

20ISC ONE DAY LATE STUDENT [until February 24th] | 120 Euro

TRIP IN THE ALPS LATE (7-8 July) | 190 Euro

* I will be bringing accompanying persons

If "YES" please insert the numper person

ADDITIONAL INFORMATION



* I intend to participate in
(only for organization purposes we ask you your preferences regarding social events without affecting the fee)


TOTAL AMOUNT OF REGISTRATION FEE TO BE PAID
(Payment button at the end of this form)

Total Euro


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