IASPE Congress Application 2010
Title
Surname *
Name *
Institute
Street *
Postal code *
City *
Country *
Phone *
Telefax
E-Mail *
Are you Speaker or honorary member?
Are you a member of the IASPE?
Would you attend at our social „Evening Programm“ (Saturday)? (limited number of participants)
How many person(s) will join you with the social programm?
Speaker or honorary member
Free of Congress-charge!
Member
110.-€
No member
170.-€
Social Evening Programm
60.-€
Companion
60.-€