ICBL2021

Registration Form

If the meeting cannot proceed on site due to corona-related measures, the meeting will switch to an online format and the corresponding difference in the registration fee will be reimbursed. You will be informed well in advance.

First name *

Last name *

Mr./Ms.

Mr.

Ms.

Email address *

Position *

Affiliation / Institution *

City & Country *

Dietary restrictions

I would like to *

present a Poster (A0 portrait)

Yes

Preference for

Poster topic?

Title

Authors

Firstname Lastname1, Firstname Lastname2, etc.

Affiliation of authors

1. Affiliation author 1

2. Affiliation author 2, etc.

Abstract

(max. 300 words)

I want my poster to be considered for

Oral presentation

Yes

Brief Motivation for

Oral presentation

(max. 50 words)

Choose your ticket group

Conference ticket + Conference dinner

€ 600.00

Total: € 600.00

! Be aware that you have to book & pay the accomodation separately !

event registration made easy

Registration ICBL2021

Registration fee options

Registration ICBL2021

Registration fee options

ICBL2021

aanmelder.nl is event registration made easy