REGISTRATION FORM

Salutation*:
First name*:
Last name*:
Affiliation type*:
Affiliation*:
Address*:
E-mail*:
I am a PC member
I am a student
I am willing to participate in JCKBSE10*: as a submission author without presenting a submission

ACCOMPANYING PERSON:
First name:
Last name:
Extra tickets for the accompanying person: Welcome party (20 EUR)
Dinner (25 EUR)
Lunch package (40 EUR)
Excursion (40 EUR)

* mandatory field

Please use only English alphabet characters!
All registrants will receive a confirmation email to the address entered above.
If you do not receive the confirmation email in three workdays, or need to make changes to your registration, please send us email (see Contacts).