ICIQ - Summer School 2011

REGISTRATION

Fees

Registration fees:
€300 (Undergraduate and PhD. Students, and Postdoctoral Researchers).
€1000 (Researchers from Industry).
The registration fee gives you access to the lectures, conference material, coffee breaks and lunches. The excursion and dinner are also included.
A number of grants covering the registration fee for graduate students will be also awarded by the ICIQ.

Registration Form

*Given Name:

*Family Name:

*E-mail Address:

*University Research Center

*Please, tick one box:
Undergraduate Student
Graduate/Ph.D. Student
Post Doc

*Please, tick if you apply:
ICIQ's Grant Application

*Please attach here your CV:

*Please, tick the box if you'd like to participate in any of these activities:
Wine tasting and dinner tickets (€50 per ticket) Yes No
Free afternoon tour Yes No

*Invoice requested?
Yes No

Only fill out in the case that you request invoice:

Name/Institution name:

Address:

City/Country:

Postal Code

VAT/ID/Passport number:

*Mandatory Fields

Please, fill out and submit the Registration Form. Then, we'll get back to you with directions regarding the payment process.