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2019 Presenter Registration Form

EUSA AP Conference Registration

I want to register as(*)
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Title (Prof, Dr, Mrs, Ms, Mr)(*)
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First Name(*)
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Family Name(*)
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University(*)
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City(*)
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Country(*)
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Email Address(*)
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Dietary Requirements(*)
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This paper is co-authored(*)
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Name of co Author
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This paper will be presented together with my co Author(*)
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Title of Paper(*)
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Paper Abstract (max 300 words)(*)
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Short bio (max. 100 words)(*)
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Photo of presenter(*)
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Verification field(*)
Verification field
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Comment
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Registration fee
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Total
0.00 EUR