BES

Registration form

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Participant details (for participant conference badge)
Title:
First Name:*
Last Name:*
Organisation/University*:

Invoice address Important: If the payment is made by your Institute, please take care to enter the correct full address. If necessary check first with your administration.
address line 1:*
address line 2:*
address line 3:
ZIP:*
City:*
Country:*

VAT number or other:

Participant e-mail address:*
Phone number:
Registration fee
Euro 800
Student fee*
Euro 400
*To receive the student discount please send by fax a short letter by your supervisor confirming your student status to the BES conference organization office.
FAX: ++41 21 648 39 75 or (info@bioelectrochemical-soc.org).

Accompanying person registration fee: EURO 130
Please fill in the name of the accompanying person(s) below.
(includes Lunches, receptions, excursion and banquet).

Please check this box if you are vegetarian.

Please enter your accepted Oral and Poster abstract submission ID(s) (or the first 4 words of each title) of the accepted Oral presentation and/or Poster(s) you will be presenting.
This will ensure that your oral presentation and poster appear in the program.
If you have no presentations, please just enter an "x" in the first field below.

Each registered participant can not
have more than two (2) presentations.
(Either one accepted oral and one poster presentation or two poster presentations.)
1) Presenting author of : If more than two presentations are entered, only the first two will be retained.
2) Presenting author of :
Please do not enter posters you co-authored and which you will not be presenting personally.

Please check this box to confirm you have read, understood, and accept the terms and conditions.
I would like to become a BES member and receive a FREE 2017 membership