ISINI 2020 CONFERENCE REGISTRATION FORM

    Wrocław, Poland, September 24-25. 2020

    (please send this form by e-mail to: This email address is being protected from spambots. You need JavaScript enabled to view it.)

    Surname: .......................................................................................................................................

    First name(s): ................................................................................................................................

    Prof/Dr/Mr/Mrs/Ms: ......................................................................................................................

    Position: ........................................................................................................................................

    Name of Organization: ..................................................................................................................

    Address: ........................................................................................................................................

    Post code/Zip code: .......................................................................................................................

    Country: ........................................................................................................................................

    VAT/TAX number: .......................................................................................................................

    Tel: ................................................................................................................................................

    E-mail: ...........................................................................................................................................

    Accompanying Delegate: ..............................................................................................................

    Surname: .......................................................................................................................................

    First name(s): ................................................................................................................................

    Prof/Dr/Mr/Mrs/Ms: ......................................................................................................................

    Dietary requirements: ....................................................................................................................

    Registration Fee per delegate

    Full registration €150 (PLN 600)

    Accompanying delegate €100 (PLN 400)

    Please note that registration fee is non-refundable. After the payment an invoice will be send by email. The registration is final after payment.

    Payment in Euro to the following account: (TO BE ANNOUNCED)

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