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Registration Form

Title:
Surname*:
First Name*:
University*:
Institute/Department*:
Group leader (if applicable):
City:
Country:
E-mail*:
Status:
PoLS Faculty
PoLS Graduate Student
Other
I will present a Poster
Book accommodation:
Single room
Double room (graduate students)
No Room required
Preferred roommate (only for graduate students):
Dietary restrictions:
Social program (Wednesday afternoon):
Tour 1: Munich - main sights and history
Tour 2: Munich and the arts
Tour 3: Munich by bike
Tour 4: Isar river rafting tour
Please discard my email-address from the list of participants in the book of abstracts
I do not need a printed version of the Book of Abstracts and prefer to use the electronic version only.
Comments:
Registration fee (60 EUR) - please select method of payment:
Credit Card
Bank Transfer
    

Registration fee - payment details


The participation fee is 60 €.

 

Payment by credit card:

Please fill out the credit card authorization form (PDF, 93 kb) and fax it within 10 days of registration to
+49 (0)89 2180 993547.
After a successful transaction, you will receive a confirmation of payment.

Please note: For credit card payment, additional charges will apply in the amount of 1,80 €.

 

Payment by bank transfer:

Please transfer the participation fee within 10 days of receipt to the account:

Account holder: Verein d. Ehemaligen, Freunde und Foerderer der Physik der LMU Muenchen e.V.
Bank: HypoVereinsbank Muenchen
IBAN: DE 64 7002 0270 0659 3011 99
BIC: HYVEDEMMXXX
Reason for payment: CeNS-iPOLS 2014

Important information: Please be aware of additional fees for international transfers and make sure that the entire sum of the participation fee (60 €) gets to the account.


Questions? Please contact Anna Kager.