Registration form Please fill in the "personal details" and the "registration" parts of this form. You can register to day 1, day 2 or both days. In all cases, you need to register seperately to 1) the gala dinner (28 Nov 2019 - €50) and to the drink (29 Nov 19), as mentioned below. Personal details Your E-Mail Address Name First name Title Professor, Doctor, Mrs, Mr,... Affiliation Please mention your university, company,... Registration I want to register to the 2 days (all the activities) This registration includes all the activities EXCEPT 1) the gala dinner on 28 November (€50) and 2) the drink on 29 November (free) - seperate registration for both activities. yes no I will take part to the gala dinner On Thursday 28 November 2019 - Price: €50 yes no I will take part to the drink On Friday 29 November 2019 - Free yes no (optional) I will take part on day 1 ONLY This includes all the activities except the gala dinner (seperate registration - see above) yes no (optional) I will take part on day 2 ONLY This includes all the activities except the drink (seperate registration - see above) yes no I would like to present a poster yes no Comments Please mention here any food allergies, intolerences or preferences. By submitting this form, I accept that the organizing team uses my data for any communication linked to the event, as well as for attendance listings or certificates. The organizing team commits not to use the data longer than necessary or for any other use than this event. The data is susceptible of being transmitted to the FSE (contractual MIRVAL+ reporting) to compile statistics. More info on https://www.unamur.be/vie-privee