MDMM 2010 Registration
If you plan to attend MDMM 2010, fill out this registration form. The early bird registration and payment deadline is March 31
th
. We suggest, however, that you register as soon as possible since later registration fees will be higher (see
the page about payments
for details) .
A few notes about this registration form:
Your email address will be used for identification and notification, so please double check whether you correctly entered your current email address.
Fields in
bold
are required to register. You can update other fields later.
If there are non-english letters in your registration data (for instance Polish diacritics), make sure that your browser submits the form using the UTF-8 encoding.
If you fill out the registration form for a second time, all mandatory fields must still be filled in and the new data will overwrite your previous registration. To update only a few fields (for example, the contribution title or accomodation fields), please choose the "this is an update" checkbox. After the registration deadline, only corrections to previous registrations will be allowed.
Note: Only regstration updates are possibly now.
E-mail
:
this is an update (only if you already registered)
Title
:
Ms.
Mrs.
Mr.
Dr.
Prof.
Gender
:
female
male
First name(s)
:
Last name
:
Affiliation
:
Street address:
City
:
Postal code
:
Country
:
State:
Phone:
FAX:
Status & contributions
Contributions (oral or poster) are optional, with up to two contributions allowed from any participant. You will be able to update or change this information later if needed using the same registration form until the final deadline for
abstract submission
(May 15
th
). Students using the
reduced conference fee option
should declare their status in the field below.
Your status
:
undergraduate student
graduate student
regular participant
accompanying person
Contribution:
None
Oral presentation
Poster
Title of contribution:
Additional contribution:
None
Poster
Title of additional contribution:
Arrival & departure
By letting us know when you are planning to arrive and depart, we can help you get to the conference venue in case of problems.
Arrival
:
July
2 (Fri)
3 (Sat)
4 (Sun)
5 (Mon)
6 (Tue)
7 (Wed)
8 (Thu)
time:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
0
10
20
30
40
50
at:
Wrocław (airport)
Wrocław Główny (train st.)
Wrocław PKS (central bus st.)
Wrocław (car)
Other
other
Departure
:
July
4 (Sun)
5 (Mon)
6 (Tue)
7 (Wed)
8 (Thu)
9 (Fri)
10 (Sat)
time:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
0
10
20
30
40
50
from:
Wrocław (airport)
Wrocław Główny (train st.)
Wrocław PKS (central bus st.)
Wrocław (car)
Other
other
Additional comments:
Accomodation
Please see the
Travel & tips
page for details and prices. If you choose a budget accomodation below (
no more rooms in ZNP and in Olowek
), the organizers will make the reservations, and you should pay accomodation and conference fees together. If you will stay at a hotel, please choose 'other' below and comment on where you will be staying; in this case, please make your reservations and payment on your own.
Your choice
:
Student hotel 'Ołówek' - double room (64.20zł/16.50€ per person)
Student hotel 'Ołówek' - single room (74.90zł/19.00€)
other
Nights
:
4/5
5/6
6/7
7/8
Roommate name(s):
Comments:
Invoices
If you would like to obtain an invoice for your payments, please signify that below. It will be helpful if you also provide the VAT number of the institution you want the invoice for (you can use
this page
to verify european VAT numbers).
I would like to obtain an invoice
I do not need an invoice
VAT number
Excursion
We are organizing two excursions. Please make your selection if you would like to participate in one or both.
I would like to visit the Panorama gallery
I would like to take the tour around Wrocław
Other remarks:
After submitting, be sure to wait for and read the confirmation message.
Send comments and questions to:
mdmm@mdmm.pl
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