Personal data:
        First Name:      Last Name:       Birth date:
         Nationality:     Telephone :          Email:
        Institution:       City:     Country:

          To organise your stay in Corfu:
Under what status will you participate? (Possible status are:  - 1: Ionian Uni Member - 2: Junior IFMP Member - 3: Senior IFMP Member / Foreign lecturer - 4: Other Institution)
Please, give us your status number (1 or 3 or 4): Registration under status 2 is closed since August 30th.

•  Would you like us to reserve a "Single" room for you at the Atlantis hotel (for status 3 or 4): Yes No   ( you will have to pay 210 €   to ATLANTIS before Friday Nov. 10th)
•  Would you like us to reserve a bed in a "Twin" room for you at the Atlantis hotel (for status 2): Yes No ---  I would like to share the room with:
•  Will you attend the Welcome Cocktail Monday night (Free for 1,2,3 status): Yes No
•  Will you attend the Farewell Banquet Thursday night (20 € / person): Yes No
•  Will you participate to the lunches taken together (Monday to Thursday 9 €/day/person): Yes No   (Tickets available @ registration desk)
•  Will you prefer to buy a "Food Package" (Welcome Cocktail+4 luches+Banquet) available @ registration desk for 50 € (for status 1,3,4) : Yes No

          Only for participants under status 2: (Registration under status 2 is closed since August 30th)
•  I would like to give a short Powerpoint talk during a Student Forum: Yes No --- The title of my scientific talk is :
•  I would like to participate in the session "Quiz / Evaluation of Knowledge" just at the end of the Workshop Yes No
         Your special requests or suggestions (100 characters max):   

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