Status verification: If you have registered already and would like to verify your participant status, enter your e-mail (the one that you have used for registration) and press the 'Submit' button. Your status information will be emailed to you.
If you plan to attend MDMM 2012, fill out this registration form. The early bird registration and payment deadline is April 15th. 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.

E-mail:
  this is an update (only if you already registered)
Title:
Gender:
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 (June 30th). Students using the reduced conference fee option should declare their status in the field below.
Your status:
Contribution:
Title of contribution:
Additional contribution:
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.
 Septemberhh:mm:To/From:
Arrival:  
Departure:  
Additional comments:

Accomodation Please see the Travel & tips page for details and prices. If you choose a budget accomodation in Student Hotel T-15 (1.8 km from conference venue) or T-14(800 m from conference venue), 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. Please note that all the SINGLE rooms in T-14 have been booked out already, therefore we offer only one choice of budget accomodation in SINGLE room, the T-15 Student Hotel.
Your choice:
Nights:
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).
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:
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