Workshop Registration (No Longer Available)



Personal data
Gender/salutation* Mr. Ms.
Title
Given (first) name*
Family (last) name*
  
Home address*
Street*
City*
Postal code*
Country*
  
Office address*
Department
Institution*
Street*
City*
Postal code*
State (for USA)
Country*
  
E-mail*
E-mail confirmation*:
Phone
Fax
Mobile phone
  
PhD status I will be a (PhD) student in September 2011
  
*=required field


Workshop fee

Option A: Regular workshop fee (closes July 10)

Including: Poster buffet (Su), coffee breaks, workshop organization, infrastructure, abstract book, lunch ticket (Mo)


Workshop fee      70 EUR          
 
I am a PhD student and would like to apply for a waiver of the workshop fee
I am from Russia (funding focus)
I apply for accomodation support (Sept 10-12)
I have registered for the Horizons conference and will present a poster there
I apply for conference accomodation support
I apply for a waiver of the conference fee (90 EUR for PhD students)
 
Cancellation fee 10 EUR until July 20
20 EUR until August 20
30 EUR after August 20


Option B: Late workshop fee (starts July 11)

Including: Poster buffet (Su), coffee breaks, workshop organization, infrastructure, abstract book, lunch ticket (Mo)

Workshop fee      90 EUR          
 
Cancellation fee 10 EUR until July 20
20 EUR until August 20
30 EUR after August 20



Workshop abstract submission is no longer possible

Number of Authors:
 
Presenting author
Initials
Last name
Affiliation
 
Preferred presentation Poster
Short talk		 The decision between poster presentation and short talk will be made in August.

Title
Abstract
(text only, no images, unicode characters allowed)
If your abstract needs formatting please use the following code: [b]bold[/b]
[i]italics[/i]
[u]underlined[/u]
[sub]subscript[/sub]
[sup]superscript[/sup]
Reference 1
Reference 2
Reference 3



Payment preference


Billing to home address Billing to office address
Billing by fax Billing by email Billing by regular mail

Bank transfer (Please make sure there are no fees on our side)
Credit card payment (We only accept Visa and Master Card)


Comments/questions (< 200 characters)


Accommodation

Accommodation is not included in the conference registration fee. Use this link for hotel rates and information.
The preferred accomodation for workshop participants is Hotel Beckmann or Weender Hof. If you apply for accomodation support, please do not book directly.


Submission

By clicking on the map below, you can indicate your preferred category of weak, medium strength and strong hydrogen bonds as well as molecular, mesoscopic or macroscopic systems.

At the same time, this click submits your registration and a confirmation of your workshop registration and abstract submission will be sent to the e-mail address given above.

In case you only wish to register for the workshop and not submit an abstract, please finish your registration by clicking anywhere on the map below.