Registration form

Name*
Position*
Institution*
Address*
City*
ZIP code*
Country*
Email*
Phone*
Dietary requirement
Do you have any accessibility requirements?
DLM member
1st day – 13th September 2017
Gala dinner
2nd day – 14th September 2017
3rd day – 15th September 2017
I'm student
Keynote speaker
Billing information (if it is different as above)
Name
Address
City
Country
Postal Code
VAT number (if applicaple)
Payment
Bank card
Bank transfer
Total registration fee
3 days2 days1 day
Regular registration fee330€ 270€ 170€
DLM Forum member registration fee250€ 200€ 120€
Student registration fee160€ 120€ 80€
Late registration fee (after 20th of August)440€ 330€ 220€