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FASE Advanced Course and Symposium 2019
12---14 September 2019, Brussels (Belgium)
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Registration Form
Deadline for registration: 1 August 2019
Last Name and First Name
*
Your answer
Academic title
*
Your answer
Scientific discipline/Field of expertise
*
Your answer
Current Affiliation/Institution
*
Your answer
Address (Street, ZIP code)
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Your answer
Country
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Your answer
Email
*
Your answer
Telephone number (+country code)
Your answer
I would like to attend:
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Advanced Course and Symposium
Symposium only
I would like to present at the Symposium
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Yes: Oral presentation
Yes: Poster
No
Required
Registration fee
*
(includes coffee breaks,
Student (including doctoral students) (150 €)
FASE member (200 €)
FASE non-member (270 €)
Symposium only (50 €)
The registration fee needs to be paid in full by bank transfer by 1 August 2019.You will receive the confirmation of your registration within a month.
Thank you very much for your interest! We look forward to seeing you at the FASE Advanced Course and Symposium 2019!
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