Fields marked with * are mandatory
 
Family name   *
First name   *
 
Address   *
Zip code   *
City   *
Country   *
 
Organization   *
 
E-mail   *
 
Phone number    
 
Submitted Paper Number(optional but each paper must have at least one registered author)    
 
Your inscription (All Inclusives)   *  Industrial (600€)
 Regular (490€)
 Student (365€)
 
Number of additional Gala Dinner (100€/person)   *  0   1   2   3   4   5 
 
Workshop participation   *  NALOMA'23
 InqBnB4
 DMR 2023
 ISA-19
 SemInOrgCom
 None
 
Participation      Tuesday - Lunch
 Wednesday - Lunch
 Thursday - Lunch
 Thursday - Gala Dinner
 Friday - Lunch
 
Type of payment      Bank card
 Purchase Orders
 
Special Diet (you and the additional participant(s))    
 
Do you want us to lend you a bike? (under your own responsibilities)      Yes
 No
 
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