Registration Dear colleagues, by submitting this registration form you confirm your participation in the 6th Bonn Brain³ Meeting from March 24th to 26th 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. PrefixnoneDr.PhD.Prof.Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Please select your institutionnot listedAdvanced Cell DiagnosticsAnokhin Research Institute of normal physiologyBIGS NeuroscienceBiocenter, University of CologneBochum, Department of Cell Morphology and Molecular NeurobiologyBonn, Anatomisches InstitutBonn, CAESARBonn, Department of EpileptologyBonn, Department of NeurologyBonn, Department of NeuropathologyBonn, DZNEBonn, IEECRBonn, Institut für Experimentelle ImmunologieBonn, Institut für Physiologie IBonn, Institut für Physiologie IIBonn, Institute for Molecular PsychiatryBonn, Institute for NeuropathologyBonn, Institute for Reconstructive NeurobiologyBonn, Institute of Cellular NeurosciencesBonn, Institute of GeneticsBonn, Klinik für Psychiatrie und PsychotherapieBonn, LIMESBoston UniversityBundesinstitut für Arzneimittel und Medizinprodukte (BfArM)Carl Zeiss Microscopy GmbH - Vertrieb DeutschlandCECADCore FacilityCore Facility Nanobodies, University of BonnDep NeurosurgeryDepartment of NeurosurgeryDKFZ, Central Institute of Mental HealthFreie Universität Berlin BerlinFriedrich Miescher Institute for Biomedical ResearchFriedrich Schiller University JenaGoethe University of FrankfurtHeidelberg University, Medical Faculty MannheimHoward Hughes Medical InstituteInstitute for Synaptic Physiology, Center for Molecular Neurobiology-Hamburg, GermanyInstitute of Physiological Chemistry University Medical Center Johannes Gutenberg University MainzInstitute of Physiological Chemistry, University Medical Center MainzInstitute of Physiological Chemistry, University Medical Center, Johannes Gutenberg University MainzInstitute of Physiological Chemistry, University Medical Center, Johannes Gutenberg University, MainzInstitute of Physiological Chemistry, University medical centre, MainzInstitute of Physiological Chemistry. University Medical Center. Johannes Gutenberg University MainzIntitute for physiology,University Medical Center of the Johannes Gutenberg University MainzIntitute of Physiology, University Medical Center MainzIST AustriaJohannes Gutenberg Universität MainzKing's College LondonLIFE & BRAIN GmbH CellomicsMax Planck Institute for Metabolism ResearchMax Planck Institute for Metabolism Research, CologneMax Planck Institute of PsychiatryMicroscopy Core FacilityNorth South UniversityRuhr University BochumRuhr-Universität Bochum, Institut für Physiologie, Abteilung für Systemische NeurowissenschaftenSartorius Lab Instruments GmbH & Co. KGshadi.albasset@dzne.deTechnical University Munich (TUM)Uni HeidelbergUni klinikum rechts der isarUniversität Leipzig, Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, ForschungslaborUniversität zu KölnUniversité de BordeauxUniversity Hospital Cologne, Department of NeurologyUniversity Medical Center MainzUniversity Medical Centers AmsterdamUniversity of Amsterdam/Academic Medical CenterUniversity of BonnUniversity of BonnUniversity of BordeauxUniversity of CologneUniversity of MainzUniversity of Twente If other, please enter your institution here*Professional level*Bachelor / Master student (free)Bachelor / Master student with mealsTechnician (140€)Doctoral student (PhD and/or MD) or Postdoc of the Bonn Neuroscience Community (140€)Doctoral student (PhD and/or MD) or Postdoc (160€)Principal Investigator of the Bonn Neuroscience Community (230€)Principal Investigator (270€)Industry (410€)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*femalemaledo not wish to sharePrivacy 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 IdentifierCommentsThis field is for validation purposes and should be left unchanged.