ISINI 2020 CONFERENCE REGISTRATION FORM

Wrocław, Poland, September 23-25. 2020

(please send the information in an e-mail (scan or mail text) 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 €175 (PLN 700)

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)