Registration


                

                        Dear colleagues, 

by submitting this registration form you confirm your participation in the 6^th Bonn Brain³ Meeting from March 24^th to 26^th 2020 at the University of Bonn.


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Name*
                            
                            
                                                    
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Address*    
                    
                         
                                        
                                        Street Address
                                    
                                        
                                        Address Line 2
                                    
                                    
                                    City
                                 
                                        
                                        State / Province / Region
                                      
                                    
                                    ZIP / Postal Code
                                
                                        
                                        Country
                                    
                    
                
Email*
                            
                        
  
Please select your institution
  

If other, please enter your institution here*
Professional level*
Total
						0,00 €
						
					
The fee you have to pay.
Student ID*Accepted file types: jpg, png, pdf.
  
I would like to participate in the following events: 
Events
								
								Shake the Brain - Party (26.03.)
							
Meals
								
								Vegetarian (check box if you prefer vegetarian meals)
							
Gender*female
male
do not wish to share
Privacy Policy* By submitting this registration form, I agree that my personal data may be stored on the Bonn Brain³ server and used for the organisation of the Bonn Brain³ meeting. I hereby confirm that I must contact the Bonn Brain³ organizing team if I do NOT want pictures of myself published on the Bonn Brain³ website or other related media.
Unigue Identifier
Comments
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