Participants will be asked to fill in:

• Initials*
• First name*
• Prefix
• Name*
• Title
• Company*
• Department
• Address*
• Zip code*
• City*
• Country*
• Telephone number*
• Mobile number
• E-mail*
• Jobtitle*
• Dietary requirements
• Remarks
• Invoice address
• Member Rho Chi (membership number) (for discount)
• Member V&VN (membership number) (for discount)
• Opportunity Site visits
• Opportunity Conference dinner
• Opportunity Reception City Hall
• Opportunity Preconference
• Opportunity Registration: day ticket/whole conference/discount

Data with a * are required.

I sign up for the congress and agree with the cancellation policy.