Registration - glyconet Berlin Brandenburg

Title

Name *

Vorname

Nachname

E-mail *

Registration *

Member of the glyconet BB (free of charge)
Non-Member (195 EUR)
Student (80 EUR)

Invoice Address *

Contact Address (optional)

contact name, institution, street, city, zip, country

Phone Number *

Your Message (optional)

Please note the following information: My data will be saved and processed electronically for the organization of the event. The contract agreement is made between the participant and the organizer of the event. *

I accept the terms and conditions.
I accept the data protecetion notice.

I agree to receive information material on follow-up and and related events via mail and email.