NWO FM HOTEL form » NWO FM HOTEL

NWO FM HOTEL

November 25th, 2009

Registration Form

Last name
First name and Initial(s)
Title(s)
Academic position
Study section
Group leader
University/Company/Institute:
Department
E-mail
Phone
Gender
Mr. Ms.
Accommodation – room(s)
* ) single room only for groupleaders, professors and industrial participants; optionally: please enter the name of a person to share your room with at the end of this registration form in the box „Special wishes“
15 February
Lunch Dinner
Talent session – Monday 15 February (information)
Yes No
16 February
Lunch
Person to share a room with
Special wishes
(special diet, person to share the room with, etc.)
Cancelling your registration can be at the very latest one work day prior to the start of the meeting, preferably by sending an email to our office. In case of not cancelling your registration, or cancelling your registration too late, NWO will charge you the costs of both accommodation and boarding.
I agree