ENNS 2017 Registration Form

Please fill out the form carefully. All the fields with * are required.

The payment can be made either via bank transfer or credit card. Credit card processing is expensive for ENNS, and therefore we must charge a fee for this kind of payment. All credit card payments are subject to a flat extra fee of EUR 2.

Step 1 of 3 -- Registration details

Basic information

Title *

First Name *

Last Name *

Position *

Affiliation *

Organisation or academic institution

Contact details

Address line 1 *

Address line 2

Postal code

City *

Country *

Phone number

E-mail address *

Billing address

Please enter the billing address for your payment receipt.

This address will appear on your payment receipt. In case you are going to be reimbursed by your institution for your registration fee, please enquire with the financial department in order to know what address to enter here.

Copy the contact address above.

Address line 1 *

Address line 2

Postal code

City *

Country *

Membership category

Membership category *

Regular

Student

Emeritus (Retired)

ENNS Member number (if known)

Other information

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