MOSAIICS

Registration form for the MCH25 Conference

Prefix

First Name *

Last Name *

Email *

Organization *

Street Address *

City *

State/Province

ZIP / Postal Code *

Country *

Use a different address for invoicing?

Yes

Type of Registration *Online registration (Late) - 120 EURIn person registration (Late) - 150 EUR

Invoicing Address

Street Address *

Apartment, suite, etc

City *

State/Province

ZIP / Postal Code *

Country *

Payment method *Bank TransferYou can pay the conference fee by bank transfer. You will receive the bank transfer information by email.

Promo CodeIf you have a preferential registration code, submit it here.