Registration ( Part I of III ) - Personal Details
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A. Personal Details
* indicates required field
* Last name:
Required field.
* First name:
Required field..
* Job Title / Position:
Required field.
* Institute / Company:
Required field.
* Street & Number (or PO Box) :
Required field.
* City:
Required field.
* Postal Code:
Required field.
* Country:
Required field.
* Telephone:
Required field.
* Email:
Required field.
Invalid format.
* Email:
Required field.
Invalid format.
(confirm)
* Will you attend the Welcome Reception on Sunday evening ?
YES
Please choose an option.
NO
* Will you attend the Supper on Monday evening ?
YES
Please choose an option.
NO
Comments, special dietary needs:
B. Registration Options
All fees are VAT exempt. Earlybird fees are in effect.
* Conference Entry:
Full CHF 475.-
Speaker: CHF 0.-
Exhibitor: CHF 0.-
1-day (April 29): CHF 250.-
1-day (April 30): CHF 225.-
Please select a valid item.
Please select an item.
Please choose one
* 1-day pass does
not
include evening supper on April 29
* I agree to share my contact information with other mAm 2024 participants
only
(name, email, affiliation)
I agree
I do
not
agree
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