Registration ISoLA Bio 2009

Registration Deadline: May, 27th 2009

Personal Information
Title:
Lastname*:
Firstname*:
Institute*:
Street/No.*:
Zip Code/City*:
Country*:
Fax:
Phone*:
E-Mail*:
Payment
Fees after May, 10th 2009
Regular 375€
Speaker from Academia 300€
Student 200€
Univ. Potsdam affiliate 0€
Participate in reception
(on evening of 4th of June):
Catering
I attend on Thursday the 4th:
I attend on Friday the 5th:
Type*: Regular Student Speaker Univ. Potsdam
Payment*: Bank Transfer Paypal