Rooms 2020 old

1

Gender

Choose one of the following answers

2

Surname

3

Forename

4

Institution

5

Address

6

Postal Code

7

City

8

Country:

Choose one of the following answers

9

E-mail address

10

Phone

11

I plan to make a presentation

Yes No

12

Presentation

Choose one of the following answers

Poster
Oral presentation

13

Title

14

Short abstract (max 350 word)

15

I wish to participate to the ROOMS’ lunch on Thursday the 3rd of December

Yes No

16

I wish to participate to the ROOMS’ lunch on Friday the 4th of December

Yes No

17

I wish to participate to the Thursday 3rd of December evening meal

Choose one of the following answers

Yes
Yes, with a companion
No

18

I have food restrictions

Yes No

19

Which one ?

20

If you have any other question, please contact us : eifr-croqair@hefr.ch