ElecNano 11 - Registration Student (SCF members)

First name

Last name

Email (if you submitted an abstract, please use the same email address)

Affiliation

Max 170 character

Country of residence

Do you have some dietary restrictions?

Vegan

Vegetarian

Gluten Free

Pork Free

Do you have dietary allergies?

Would you like to book a room with your registration ?	Price incl.		Quantity
Accomodation	200.00 €

The option includes single accommodation for the nights of May 5th and 6th, with breakfast included on both days.

By participating, you agree that you might be filmed or photographed only in the duration of this event.

TOTAL excl. VAT

€

TOTAL incl. VAT

€

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