ONLINE REGISTRATION FORM

Note: This online registration form can be used for registration of one delegate only.
To register more than one person from your organization, complete the registration form, click on the “Submit” button, and after announcement for the successful submission is displayed simply edit the filled information accordingly and submit the form again.
Please, note that fields marked with * are mandatory.
Surname:*
First name(s):*
Title: Prof./Dr./Mr./Mrs./Ms./Miss/Others Please specify
Organization:*
Department:
Address:*
City:*
State:
Zip code:
Country:*
Telephone:
Fax:
Email(s):*
Names of the other delegates from the same company/organization: 1.
2.
3.
4.
Registered accompanying person’s name(s) as to appear on the badge:
I will present a lecture/poster at LABAT’2017 as a speaker: Yes No
Registration fees Before15.03.2017 After15.03.2017 Due EURO
  • Manufacturer / Supplier
1200€ 1400€
  • University researcher
850€ 950€
- Less any applicable discounts: A delegate may qualify for one discount only.
20% discount for speakers (holds only for the person who will actually present the paper, but not for all co-authors) -
10% discount on the applicable fee for 3 or more delegates from the same company or organization (accompanying persons not included) -
Discounts do not apply for Student’s, Accompanying person’s and Exhibition stands fees:
  • Student (in fulltime education)
330€ 380€
  • Exhibition stand (+1 full delegate)
2185€ 2300€
Number of accompanying person(s) 330€ 380€
TOTAL FEE DUE:
AMOUNT PRE-PAID in EURO:
PAYMENT due:
Way of p­ayment: In advance by: On arrival by:
No advance payment by credit cards is possible! Bank drafts or cheques must be received before 15 May, 2017. Bank transfer
Cheque
Credit card
Cash
I will need an official letter of invitation for visa purposes.
I would like to visit IEES on: 19 June 2017 20 June 2017
Remarks, questions and/or any specific (e.g. dietary, wheelchair access) requirements:
Please enter the code displayed in the box to validate this as a genuine e-mail:

About LABAT’2017
Committees
Technical Program
Conference Proceedings
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Exhibition
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Important Dates