Register

ETN DEMETER Concluding Symposium registration form

Name*
Prefix First Last
Institution*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Participating options*
Please choose one of the following options
Accommodation
Check in Date
Check out Date
Special dietary requirements
Additional information
Symposium dinner*
- Without symposium dinner
- With Symposium dinner
Section Break
Symposium dinner
- Without symposium dinner
- Symposium dinner: € 40
Total
0,00 €
Fees and Payment
Payment can only be done by bank transfer.
Payment to be transferred to:
- IBAN BE09 4320 0000 1157
- Beneficiary: KU Leuven, Krakenstraat 3, 3000 Leuven
- Reference: VGS 400/0017/01478 + NAME PARTICIPANT
Special dietary requirements
Only in case you need an invoice, please fill in the info below:
Send invoice to
Name / Institution
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact person
First Last
Email address
VAT number
If located in EU country and have VAT number
Fiscal number
If located in another country and liable to fiscal number
Additional information

Accommodation