Registration form for SSAOS 2023
Participant
(
*
) means that the field is required
Surname:
(
*
)
First name(s):
(
*
)
Institution:
(
*
)
Mailing address (to include in the receipt):
(
*
)
Country:
(
*
)
E-mail:
(
*
)
I wish to present a talk:
(
*
)
yes
no
If yes, a title of your talk, if you already know it:
Gender:
(
*
)
male
female
Additional remarks
(e.g. vegetarian, special food etc.):
Intended arrival
(dd-mm-yyyy):
(
*
)
Intended departure
(dd-mm-yyyy):
(
*
)
Type the letters from the picture here:
(
*
)
Accompanying persons (if any)
First name(s):
Surname:
First name(s):
Surname:
First name(s):
Surname: