nagłówek | header | image

Registration form

* Required fields
Participant details:
*  First name:
*  Last name:
Academic title:
Prof. Dr MSc Mr./Mrs./Ms.
Correspondence address:
*  Street and house number:
*  City:
*  Phone:
*  E-mail:
Please check your email address carefully before submitting your application.
Type of participation:
Delegate [attending alone]
Delegate - Sharing a room (per person)
Delegate with accompanying person
Delegate - Not using hotel accommodation
Hotel accommodation:
I need hotel accommodation
I will not use hotel accommodation
Thu 7 / Fri 8
Fri 8 / Sat 9
Sat 9 / Sun 10
person to share with / accompanying person:

In case of Your arrival in Poznan on the day before the conference, it is possible to book an overnight stay (Sept 6/7th) at the Andersia Hotel (Cost: double room: 150 euro/day; single room: 135 euro/day).
Please put attention that this cost is additional to to the basal conference fee and should be paid on the conference account.
We are waiting for your declaration until June 15, 2023 and information at:
After this date, please make reservations on your own. We do not guarantee free hotel rooms after this date.
Wed 6 / Thu 7
Meeting TOBOGM study:
I will attend the meeting TOBOGM study on 7th Sept 3:00-5:00 p.m.
Billing data:
as above participant details
Full name or company name:
Street and house number:
Zip code:
TAX No.:

* I agree to the processing of my personal data (name, surname, address, telephone number and e-mail address) by the Organizers.

updated: 2023-09-03