First name* Suffix (e.g. van der) Surname* Position* Country Organisation / Affiliation* E-mail address* Member KNCV or NVBMB* Yes, I am a member of KNCV or NVBMB No, I am not a member of KNCV or NVBMB Registration type* Master student - € 600 PhD - € 600 Postdoc - € 600 PI - € 850 KNCV or NVBMB member - € 550 Industry - € 1,200 Accompanying person - € 400 Invited speaker - € 400 Other: Catering information Which days will you NOT be present (for catering purposes)? 4th October 5th October 6th October 7th October Dietary wishes Permissions I hereby give permission to use my personal data for processing the event.* Yes No I hereby give permission to use photos taken during the event for social media.* Yes No I hereby give permission to use my email address to inform me about future meetings.* Yes No Send
