2nd Edible Soft Matter Workshop & Conference

ESM workshop & conference registration form

Title

First name *

Last name *

Email address *

Confirm email *

Telephone number

Organisation *

Department

Function

Country *

Postal code *

City *

Street *

Street No.

Please state your dietary wishes:

Registration fee

Ticket selection required, however there are no tickets available. Please contact the organiser.

For workshop attendees: will you attent the dinner on Saturday 9 July? (Included in registration fee) *

Yes

For conference attendees: will you attent the welcome drink (Sunday 10 July) or social event (Tuesday 12 July)? (Included in registration fee) *

Yes, I’ll attend the welcome drink and social event

I’ll only attend the welcome drink

I’ll only attend the social event

No, I’ll attent neither

I agree with the use of my personal data for the purpose detailed above. The privacy statement of WUR applies to this use of your personal data.
Read the privacy statement *