Family Name

First Name

E-mail

Postal Adress

Postcode / City

Country

The adress given is a

• Work Adress
• Home Adress

Phone

Affiliation

Status

• Faculty
• PhD Student
• Other

Registration fee

• Faculty (25 euro) (to be payed at the registration desk)
• PhD Student (20 euro) (to be payed at the registration desk)
• MA Student (10 euro) (to be payed at the registration desk)
• Other

Workshop dinner

• I register for the workshop dinner on july 2nd and will pay 40 euros at the registration desk
• I am a vegetarian

Would you like to get a receipt?

• yes
• no

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