Registration

Extended deadline of the registration is 31^th. March 2017.

Title:

Familyname:

Firstname:

Email address:

Retype email address:

Phone:

Password:

Retype password:

Position:

Institution:

Country:

City:

Street:

Postal code:

Notes:

BILLING ADDRESS

Billing address is the same as the affiliation address:

Institution:

Country:

City:

Street:

Postal code:

Special demands

Vegan

Glutenfree

Diabetic

The congress fee will be €250.- including meals and excursion, excluding travelling and hotel costs.

Payment method:

By choosen the Credit/debit card option the Customer accepts Debreceni Campus Np Kh Kft (Debrecen, Kassai út 26. Zip: 4028) at http://avacongress.unideb.hu/ to provide the following personal data stored in its user database to OTP Mobile Ltd. (1093 Budapest, Közraktár utca 30.) Provided data: username, family name, given name, country, phone number, e-mail address.
The purpose of data transmission: customer support for users, confirming transactions and fraud-monitoring for users defence.

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