Email registration - PRICES VALID TILL OCTOBER 25TH

MESM 2024 Submission Form

Title

First Name

Surname

Affiliation

Occupation and/or Title

Address

Zipcode

City

Country

VAT Number

Telephone

Fax

E-mail

EUROSIS member number

FOR AUTHORS - EUROSIS PAPER ID number

Extra's

Extra Post-Conference PRINTED Conference Proceedings - €60 plus 30 percent shipping costs and VAT if applicable

I am a vegetarian

I prefer hallal food

Payment method

I will pay by CREDIT CARD and fill in the information below. ALWAYS CHECK YOUR CREDITCARD NUMBER AMD EXPIRY DATE BEFORE HITTING SUBMIT

Type of card

Card number

Cardholder name

Expiration date

Verification code