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.-€