Registration form QISM - Innsbruck 2012

The deadline for registration is 14. May 2012. Due to space limitations, the number of participants is limited.
The conference fee is

350.- EUR per person

This includes coffee breaks, lunch (4 x), excursion and conference dinner. Notification of acceptance will take place beginning of June 2012. We have reserved a number of rooms at the conference hotel (rates: 95,-EUR per day - single room, 67,50 EUR per day - double room) as well as in some nearby hotels at cheaper rates. Upon acceptance, you should contact the hotel as soon as possible (latest by 1.8.) and book your accommodation (booking codes for special rates will be provided upon acceptance). We will also provide you with the bank connection and you will be asked to pay the registration fee. The deadline for payment is 30. June 2012. Your registration will be fixed only after you have received notification of acceptance and we have received the conference fee.

Please completely fill in and submit the following form (do not leave any blanks).

Last name:
First name:
Position/Title:
Institution/Organization:
Head of research group:
Three most relevant publications:
Poster presentation:
Poster Title:
Abstract:
(text only, max. 500 characters)
Address:
Town/City:
Province/State:
Country:
Postal/Zip Code:
Phone: (include area code)
E-mail:
Other comments: (e.g. vegetarian meal)