Registration form
Personal information
*
First name
Surname
Date and place of birth
*
Date
Place
Affiliation
*
Country of your affiliation
*
E-mail address
*
Confirmation Email
Please enter again your e-mail address
Telephone Number
*
-
National Prefix
-
Prefix
Telephon number
Will you participate in person or remotely?
*
In person
Remotely
Will you join in the social dinner (June, 25th)?
*
Yes
No
Do you present a paper?
Yes
No
Please indicate its ID
Do you have any allergies, intolerances or special dietary requirements?
Please indicate your food allergies or intolerance, or any other special requirements.
Do you have any other special requirements or specific needs that we should be aware of?
Do you need a certificate of attendance?
*
Yes
No
Types of Registration
*
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next
( X )
Full registration
NLDB conference, Coffee breaks, Welcome Reception, and Social Dinner.
€
550.00
Student registration
NLDB conference, Coffee breaks, Welcome Reception, and Social Dinner.
€
400.00
Extra tickets for social dinner
€
50.00
Quantity
1
2
3
Please upload your student card or a document that attests you're a student.
*
Sfoglia File
Drag and drop files here
Choose a file
Cancel
of
How do you prefer paying?
*
Bank transfer (the Secretariat will send you via e-mail the bank details)
Credit card online (the Secretariat will send you via e-mail the link to proceed)
Invoice information
*
Invoice must be entitled to
Address
Town and country
Postal code
Fiscal code or VAT number (if not applicable, please digit 000)
Send
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