Registration IPPNW student conference 2008
Please fill in this form in order to register for the European IPPNW student conference 2008. We will send you an e-mail with more information after this registration.
First name
Surname
Gender
Male
Female
Date of birth
day/month/year
Address
Street + number
Postal code
City
Personal phone number
E-mail
University
Year of attendance
Country
Do you need an invitation letter?
Yes
No
ID Number (only required for those who need an invitation letter)
Are you participating in the biketour? (starts on Monday 24th of November)
Yes
No
When is your arrival?
day/month/year
When is your departure?
day/month/year
Early (deadline 1st of September) or late registration fee?
Early
Late
Diet?
Vegeterian, food allergy etc.
Extra comments