Registration: Leukemia Workshop

Registration

The Workshop will take place from 20th to 22nd November 2019 in Freising.

The registration fee is 200, - EUR. After the registration, you will receive an e-mail with the account information to transfer the payment within 14 days.

Optionally you can participate at the conference dinner for 50, - EUR.

Fields marked with an * are required.

Registration

6th International Workshop on the Causes of Childhood Leukemia

Title

First Name*

Last Name*

E-Mail*

Billing address

Institution/company

Adress*

Postal Code*

City*

Country*

Registration

Registration fee*

200,- EUR

Additional services

I would like to participate at the Conference Dinner at the costs of 50 Euro

Conditions of participation

Conditions of participation*

The registrant has read and understood the terms and conditions of participation and accepts them.

Data protection declaration

Data protection declaration*

I hereby agree to collect, store and process my personal data. I understand that my personal data as well as further data contained in my registration will be used for purposes of the event only.
I further agree that the following data may be printed in a list of participants distributed to participants: academic title, first name, surname, country, home institute.