RETUNE 2012 Registration/Application

Please fill the following form to register/apply for participation in RETUNE 2012.

(* = required fields)

Title *
Family Name *
Name *
Affiliation for name badge (without country)*
Institute, Organisation *
Address *
Country *
Telephone * (e.g. +49-6221-549444) *
email *
Date of arrival *	June 2012
Date of departure *	June 2012
Invited speaker *	yes no
If yes: I wish accommodation to be booked for persons. (The additional rate for extra persons will have to be paid to the hotel directly.)
Remarks (including, e.g., food preference such as vegetarian):
Would you like to present a poster? (Yes/No) *	yes no
Title of Talk/Poster:
Abstract:

A confirmation email with your data provided will be sent automatically.
If you do not receive such an email please try again or contact us.

Accommodation for invited speakers will be provided.
Information on prereserved accommodation for all other accepted
participants will be sent later by email.

The conference fee will be 100 EUR for all regular participants, to be
paid in cash at registration. Cash machines will be available nearby.