Registration profile

Student

Regular participant

Personal data

Gender *

Male Female

First Name *

Last Name *

Academic Degree

Afiliation/Institution *

Phone

E-mail *

Country *

I am coming with an accompanying person

Activities

Welcome Reception

Description

Sunday, June 18th, 2023
19:00-21:00 (2h)

Included in the Conference Fee

Quantity

Organ Concert in Fara Church

Description

Monday, June 19th, 2023
20:00-21:30 (1,5h)

Included in the Conference Fee

Quantity

Barbecue

Description

Tuesday, June 20th, 2023
19:00-21:00 (2h)

Included in the Conference Fee

Quantity

Gala Dinner

Description

Wednesday, June 21st, 2023
20:00-22:00 (2h)

Price

Quantity

Poznań Sightseeing

Description

Thursday, June 22nd, 2023
14:30-18:00 (3,5h)

Price

Quantity

Gala Dinner

Description

Wednesday, June 21st, 2023
20:00-22:00 (2h)

Quantity

Poznań Sightseeing

Description

Thursday, June 22nd, 2023
14:30-18:00 (3,5h)

Quantity

Payment summary

Chosen currency

Payment method

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Invoice data

Type of Payer

Company / Institution

Individual

Company name *

Address *

Post code *

City *

Country *

VAT ID No. *

Other e-mail to send invoices

Comments

* I hereby express consent for the processing of my personal data by Adam Mickiewicz University Foundation in Poznan, hereafter referred to as UAM Foundation with its registered office in Poznan, (postal code: 61-612) ul. Rubież 46, as well as to make them available to the University of Adam Mickiewicz in Poznań (postal code: 61-712), ul. Wieniawskiego 1, hereinafter referred to as UAM, for the implementation of the conference 7th Fluorine Days 2023, hereafter referred to as the Conference, as well as for publication by the UAM Foundation or by UAM to inform about the Conference, including its progress, and to promote the Conference or subsequent editions of the Conference. I declare that I understand and acknowledge the information regarding the transfer of personal data by FUAM contained in the Privacy Policy https://ppnt.poznan.pl/privacy-policy/)

* I have read the content and accept the regulations.