| First Name:* |
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| Last Name:* |
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| Position:* |
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| Institute/Department/University:* |
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| City:* |
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| E-mail:* |
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Arrival:
February * |
Estimated Time: * |
Departure:
February * |
Departure Time: * |
| Comments (arrival/departure dates): |
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Participation: *
Talk
Poster
Workshop
No active participation
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Presentation/Poster Title: * |
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| If you present a poster please send the abstract at the latest until January 31st, 2017. |
Will you join the Walk & Talk? * |
Yes
No
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Do you want a lunch bag on Thursday? * |
Yes
No
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Comments:
(special dietary requirements) |
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Enter this verification code:* 2017
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We will confirm your registration by e-mail (this can take a few days). |
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Questions? Dr. Agnes Giniewski agnes.giniewski@uk-erlangen.de
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