Personal information Name* Surname* Scientific title E-mail address* Phone number Institution Name of the institution* Street name* City* ZIP code* Country* Visit details Accomodation Yes No Date of arrival Date of departure Dinner and dinner party Yes No Invoice Yes No Tax ID (if invoice required) Accompanying person Yes No Full name Additional information Paper Participation with paper Yes No Paper title Attach abstract's file (max size 3 MB) Attach paper's file (max size 6 MB) Poster Participation with poster Yes No Poster's title * required fields In case of any doubts or questions please contact us via e-mail: p.adamkiewicz@netrix.com.pl
