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Speaker registration
Form Participants
"
*
" indicates required fields
Name
*
Last/Surname
*
I will participate in the social programme (included in the conference fee) on:
Please see web for details here
TUESDAY AFTERNOON
*
Yes
No
Excursion: Furnas lake área and Grená Park
WEDNESDAY MORNING
*
whale watching
or
guided tour through the city
Neither of the two options
THURSDAY AFTERNOON
*
Yes
No
Excursion: Lagoa das Sete Cidades
THURSDAY EVENING Conference Dinner
*
Yes
No
Please note that the conference dinner is directly after the excursion, we will not have separate transport to the restaurant.
I have the following food allergies:
*
None
Other
I have the following other special needs:
*
None
Other
I will bring an accompanying person
*
No
Yes
Name (companion)
*
Last/Surname (companion)
*
Accompanying person will participate in the social programme (included in the conference fee) on:
Please see web for details here
TUESDAY AFTERNOON
*
Yes
No
Excursion: Furnas lake área and Grená Park
WEDNESDAY MORNING
*
whale watching
or
guided tour through the city
Neither of the two options
THURSDAY AFTERNOON
*
Yes
No
Excursion: Lagoa das Sete Cidades
THURSDAY EVENING Conference Dinner
*
Yes
No
Please note that the conference dinner is directly after the excursion, we will not have separate transport to the restaurant.
The companion has the following food allergies:
*
None
Other
The companion has the following other special needs:
*
None
Other
Name
This field is for validation purposes and should be left unchanged.