3rd International Workshop "Spine Loading and Deformation", July 4-6, 2019, Julius Wolff Institute, Berlin Registration as invited speaker with accepted abstract for oral presentation First name Last name Title Institution Department Street Zip code City Country Phone number Fax number E-mail Accompanying person (name) Accepted abstract title for oral presentation Name and address for the invoice if different from above Speakers are free of charge for: I will attend Participation in the workshop including coffee breaks and lunch (July 4 - 6) Workshop dinner on July 5th Hotel for 2 nights incl. breakfast (July 4 - 6) for speakers from Europe Hotel for 3 nights incl. breakfast (July 3 - 6) for speakers from outside Europe I need an additional night incl. breakfast (July 6 - 7) Accompanying person (to share the double room) After your registration submission we will send you your invoice with the bank details via e-mail. Please transfer the workshop fee within the next two weeks. Registration is valid after we receive your payment upon which we will send you your payment confirmation by e-mail. Please take your payment confirmation with you to the workshop. A certificate of attendance as well as additional conference materials will be handed out at the registration desk at the workshop. Payments have to be received without extra charges for us. If additional costs arise they will have to be paid at the workshop. We thank you very much for your interest in our meeting and welcome you in Berlin. By sending this form you accept our Privacy policy and Terms and conditions Required fields are marked with *