sponsoring terrorism

Registration

  If you prefer a registration form to fax instead of the online registration,
you can print this form and fax it to +32 (0)9 265 87 24
  Fields marked with * are obligatory.
Personal details
Title*:    
First name*:    
Name*:    
E-mail*:    
Invoice details
Company/Institute*:    
Address*:
Postal/Zip code*: City*:
Country*:    
Contact person
+ e-mail
Accounts payable
+ e-mail/phone:
Purchase number:
(If your company demands a PO number on the invoice, mention this here)
VAT:
(The country code of the VAT number should correspond to the country of the company’s location).
If the invoice has to be send to another address:
Company/Institute
Address:  
Postal/Zip code:
City:
Country:
 

Registration*

Please select an option
CLOSED Early Bird Registration
Registration € 780
Poster Presenter/Lecturer € 350
Retired Prof (+65) / Student
(copy of passport/student card required)
€ 350
1 Day Ticket (excl. symposium dinner) € 300
1 Day Ticket (incl. symposium dinner) € 420
Choose day: Monday Tuesday Wednesday
A ticket for symposium dinner only is not available.
Invited lecturer Free
Partner Participation Social Program € 200
Important! Registration is only complete after payment.

Cancellations
Before February 3th 2016: 100% refund (- 50 EUR administrative fee)
Before March 3th 2016: 50% refund
After March 3th 2016: No refund

Program events Thursday april 7th 2016 - 9 a.m. - 12 a.m.*
Please select (only) one of the 12 E-numbers

Breakout sessions (min 8 - max 16 persons/session)








Technical visits (max 45 persons/visit)





I'll make use of the bus transport - 20Ä
I'll use my own car

Social events*

Please mark the one(s) you wish to participate in.

Get together party - April 3th - 17.00h - 21.00h
Official Welcome- April 4th - 18.00h
Symposium dinner - April 6th - 19.30h

Participants should make their hotel reservation themselves (see accommodation).

A confirmation of this registration will be sent to you within five working days.

If you donít receive such a confirmation,
please contact the symposium secretariat: marleen.dhondt@kuleuven.be