Registration for the conference: Risktaking Online Behaviour - Young Poeple, Harm and Resilience, Berlin 23 - 24 May 2012

 

Registration form

Title
First name
Surname
Position
Organisation
Address
Zip code
City
Country
Telephone nr
Email
Information publishing

- I accept that my address details are published in the list of participants

- Only my title, name and organisation is to be published in the list of participants

The list of participants will not be made available online.

Lunch

- No specific dietary restrictions

- Vegetarian lunch

- Lactose free lunch

- Gluten free lunch

Invoice

I want to pay via Paypal

I want to make payment based on invoice

Payment
If you want to be invoiced and pay via bank transfer, check the "Invoice" box and fill in the required details

- I want to be invoiced

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