70ifpan - Registration Form

Ordering person details:

Title

First name

Last name

Email confirmation

Country

Tel

Diet

Describe your diet

Type of registrant

To be entitled to the reduced fee, the required proof must be provided. A Proof of Status is:

* an official letter written by the institution representative (head of department, hospital, company), which confirms the status of the applicant. The document must be issued in English on the organization’s official letterhead.

Official letter

Poster Session

Will you participate in Welcome Party on December 2

Password

The password must be at least 8 characters, contain upper and lower case letters and numbers or special characters

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I consent to having my personal data processed by the conference organisers for the purpose of registration and performance of all processes and tasks related to my participation in the conference. My personal data shall be administered by Instytut Farmakologii im. Jerzego Maja Polskiej Akademii Nauk, ul. Smętna 12, 31-343 Kraków, Polska. The organisers entrust organization of the conference and personal data processing for conference participants to Jacek Legendziewicz Jordan Group registered at Gęsia 8, 31-535 Kraków, Poland. I understand I may choose not to give my personal data but they are required in order to participate in the conference. I have been also informed about the right to access, correct and change my personal data and that I can object to any future processing of the data at any time.

I accept Privacy policy

I consent to receiving from the Conference Organiser Instytut Farmakologii im. Jerzego Maja Polskiej Akademii Nauk, ul. Smętna 12, 31-343 Kraków, Polska, including via e-mail, in particular via TTE (telecommunication terminal equipement), information about any planned conferences, congresses, exhibitions and other events delivered by the Conference Organiser.

We kindly inform you that photographic documentation will be prepared during the conference, therefore the photo of your person may be included in the organizer's resources and may be published.

Legal information

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