Registration Form

Subject to lodging and auditorium space limitations, registration will remain open by the time being.

Late submitted abstracts may be requested sending an email with all the information and will be permitted provided organization approval is granted.

Name
First Last

Institution

Telephone

Position

Address

Street Address City

Province / State Zip / Postal Code

Country

Preliminary Title:
You will later be asked to submit an abstract

I agree to present my poster in the form of a short talk if selected.

Would you prefer to share a room?
Remember that single rooms are available only at a cost 40% higher than quoted.

Yes No

I agree to share a room with:

submits a poster
Yes No

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