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.


Note: After submitting the form, you will be automatically forwarded to the payment of the participation fees (payment only possible by credit card). Please have your credit card details ready for registration. You will be asked to pay the fees directly in the next step and cannot carry out this step at a later date.





Prefix
Name*
                            
                            
                                                    
                                                    First
                                                
                            
                            
                                                    
                                                    Last
                                                
                            
                        
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
Phone
This field is for validation purposes and should be left unchanged.
                            
          
            
            
            
            
            
            
            
            
            
        
                        
                        
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