Registration BASELINE

Registration Form – BASELINE package

The “Baseline registration package” contains access to all oral and poster sessions, conference bag, name badge, program, conference documents, coffee breaks and lunch for 4 days (Monday, Tuesday, Thursday, Friday), and welcome reception (Sunday).

Please, fill in the following fields…

Baseline registration package

Name & Affiliation

First name

Last Name

Title

E-mail

Type of registration package

Affiliation - Institution / University

Postal address

City

Zip Code

Country

Food

Lunch in the hotel restaurant.

Vegetarian

Yes

No

Allergies

Yes

No

Please, specify allergies

Accommodation

Accommodation proposed by organizers, not included in the conference fee (for detailed information see here).

Accommodation - I am interested

Yes

No

Room types

I want to share the room with

Additional information

I need a pro-forma invoice

Yes

No

Conference T-shirt - binding order (10€, not included in the registration fee, payment on site)

Size

Remarks

I consent to having this website store my submitted information for CESAMIR 2024 conference purposes