Register - IMKPT

Registration for the reserve list.

We will contact you shortly to inform you about the status of your reservation.

Participant

First Name*

Last Name*

Academic title/profession*

Specialization*

Country*

Mobile phone*

E-mail address*

Please re-enter your email address*

Invoice details (400€)

Private person or Company / Institution*

Private person

Company / Institution

Address*

Postal Code*

City*

Comments

Company/institution name*

Tax Identification Number of the invoice payer*

Address*

Postal Code*

City*

Comments

This field should be left blank