Warsaw Conference Registration Form

Registrations accepted until August 28th, 2016.

Second International Conference Improving Allergy Risk Assessment Strategy for new food proteins (ImpARAS)

20-22 September 2016
Golden Tulip Hotel

(All data fields must be completed in order to send submission successfully.)

 

Your First Name

Your Surname

Your Scientific Title

Institution

Your Email

Street Address

Zip Code

City

Country

Telephone Number

Member Status - Fees will be different
Cost Member (€100)Non-Cost Member (€150)Industry (€200)

Dietary restrictions/Preferred diet
NoneVegetarianCeliacLactose IntolerantOther

Lunchbox needed for the last day
YesNo

Any additional information important to your registration

VAT Number

An invoice will be send by Pan Olsztyn Poland

Pay to bank account:

Nazwa rachunku/Name of account:

Institute of Animal Reproduction and Food Research of the Polish Academy of Science
ul. Tuwima 10, 10-747 Olsztyn, Poland

Adres banku/Bank address:

Bank Gospodarstwa Krajowego
BGK O/Olsztyn
ul. Seweryna Pieniężnego19, 10-039 Olsztyn, Poland

Nr rach.bank./Bank account No.:

EUR PL36113011890025014598200055
IBAN PL39113011890025014598200001
SWIFT GOSKPLPW

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Questions regarding registration should be directed to Barbara Wróblewska (b.wroblewska@pan.olsztyn.pl), Dr Lidia Markiewicz (l.markiewicz@pan.olsztyn.pl), Dr Agata Szymkiewicz (a.szymkiewicz@pan.olsztyn.pl) and Marloes van der Wal (marloes.vanderwal@tno.nl).