Preliminary registration form
for the 5th IOTM

I intend to participate in the 5th International Oligochaete Taxonomy Meeting that will take place in Beatenberg, Switzerland, from April 11th to 15th, 2011.

(All details regarding the registration fees are given --> here.)

 

Please note that fields marked with an * are mandatory.

  • Salutation
  • Academic title 
  • First Name
  • *Family name
  • Address (street, zip code, town) 
  • Country 
  • Affiliation 
  • *e-mail address 
  • Website 
  • Number of persons that will accompany me 
  • I would need accommodation in the following category
  • I plan to present
  • The preliminary title(s) is/are

!!! Please make sure that you correctly spelled your e-mail address!!! 

!!! Please do send us also YOUR PICTURE  by e-mail for the Delegates page !!! 

Please enter the sequence of numbers and letters,
as displayed in the picture below, in the field below this picture
(this is an anti-spam measure):

  •  

    You can send us these data also directly by e-mail

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