Anmeldung Symposium 2023

Title

Name *

Surname *

Company or Praxis *

Street *

Zip / City *

Email *

Phone

Mobile phone *

I participate at the symposium *

9 & 10.11.2023 (Price: 60.- for SSA/SGA members and 100.- for non-members)

only 9.11.2023 (Price: 40.- for SSA/SGA members and 60.- for non-members)

only 10.11.2023 (Price: 40.- for SSA/SGA members and 60.- for non-member)

Are you a student? (Special price: 2 days: 50.-, 1 day: 30.-) *

Yes

No

I participate at the dinner (Price 80.- with limitation for drinks) *

Yes

No

Known allergy or food intolerance

I am a member of the SGA/SSA *

Yes

No

No, but I would like to become a member

Message

Registration for the Aerobiology Symposium 2023