REGISTRATION FORM

PLMCN 2015 REGISTRATION FORM

PERSONAL DATA: First Name
Last Name
Affiliation
Country
Email
REGISTRATION DATA: Registration Type
Method of Payment
Bank Transfer Credit Card
Evidence of Payment
jpg or pdf format and 1MB of max. size
INVOICE DATA: First and Last Name or Company/Organization
Address
Postal Code
City
Country
VAT number
if applicable
Notes

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