Event registration

Registration for the event: 12th GASS international workshop

Name:

Address:

E-mail:

Phone:

GSM:

Education / Occupation:

Employment:

Dues paid by:

Name, Address of the company, VAT ident. number

I agree that my personal data can be used for business communication purposes. More about privacy policy.

All fields are required. When no data can be given please put in a dash (-).

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