Registration form online Conference

Registration Form for the Fifth European online GRIN Conference

Thank you for registering for the Fifth European online GRIN Conference, which will be held on October 7th and 8th, 2023 in the San Joan de Déu Hospital in Barcelona. We offer you a very interesting and inspiring two day program with doctors and scientists from all over the world. We look forward to seeing you in Barcelona!
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I am a parentI am a caregiverI am another family memberI am a physician treating GRIN disordersI am a therapist treating GRIN disordersI am a researcher of GRIN disordersOther, please specify
GRIN1GRIN2AGRIN2BGRIN2DNot applicableOther GRI disorder, please indicate: GRIK / GRIA / GRID
GRIN Europe is fully dependent on donations and sponsorships for its funding. In case you want to support our cause and our ongoing work for the European GRIN Community, please consider one of these donation options. In case of a donation of Euro 500 or more, we will present you with a token of our appreciation and your name will be mentioned at our Conference as a “Family and Friends Sponsor of GRIN Europe”. In case you make a donation to GRIN Europe, please include your name and "Donation" in the bank transfer.

Euro 50Euro 100Euro 200Euro 500Other amount, please specify
In case you would like to make a donation, please find our payment details below. Please mention your name and "Donation" with your payment.

Payment details are as follows:

IBAN NUMBER: FR76 1548 9048 0000 0928 1560 156

BIC (Bank Identifier Code): CMCIFR2A

Account holder:

GRIN2B EUROPE
16 Allee de L'Orne Champenoise
72550 FAY
FRANCE

Bank Address:

CCM Alonnes
28 Rue Charles Gounod
72700 ALLONNES
FRANCE

Should you have any problems completing your payment, please contact us at conf_grineu@outlook.com
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Registration Form for the Fifth European online GRIN Conference