Conference Registration Form with Payment

REGISTRATION AND ABSTRACT SUBMISSION PLATFORM

PLEASE REGISTER AND SUBMIT YOUR ABSTRACT by JUNE 10, 2024
Full Name*

First NameLast Name
Position/Title*
E-mail*
example@example.com
Affiliation *

Department

Institution

CityState / Province

Postal / Zip CodeCountry
Abstract Submission*

YESNO
Abstract Title
~25 words
Co-authors (* if more than one affiliation, please use numbers)
Abstract

280 words0/280
If submitting an abstract, please select

Oral Presentation (CV is required)Abstract book onlyInterested to submit a manuscript for the Journal of Molecular Neuroscience Special Issue “Featuring the European Society for Neurochemistry (ESN) 2024”
Upload CV (if oral presentation is selected)

Cancelof
Registration fee*

ESN Members 15,00€ESN Student Member 10,00€Non-ESN Member 20,00€Non-ESN Student Member 15,00€Council members/speakersStudent, Medical University of ViennaANA Member
Payment options

A. BANK TRANSFER

Please deposit the correct amount to the ESN bank account, via bank transfer, including Revolut. Please, add in the Payment details slot "FENS Satellite for [YOUR NAME]".

Beneficiary: ESN

Bank Name: Sparkasse Nienburg

Bank Adress: Goetheplatz 4, D-31582 Nienburg, Germany

IBAN: DE33256501060036031185

BIC/SWIFT: NOLADE21NIB

B. PayPal

If you choose to pay with PayPal, please click the appropriate choice below and then fill out the required information.
Registration fee
prevnext( X )
ESN Member
€15.00



ESN Student Member
€10.00



Non-ESN Member
€20.00



Non-ESN Student Member
€15.00



Total

€0.00
Payment Methods

Please click one of the PayPal options to complete payment and submit the form.
Should be Empty:

REGISTRATION AND ABSTRACT SUBMISSION PLATFORM