Registration Form Symposium 2023

Lyon, France, October 18-20

EQALM Symposium 2023 - Registration Form

Name(*)

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EQA Organization / Company(*)

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Address(*)

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Postal Code(*)

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City(*)

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Country(*)

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E-mail(*)

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I agree that my name, EQA organization / Company and Country will appear on the participant list distributed at the symposium

Yes

No

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Member type(*)

Member, registration before July 14th : EUR 700

Member, registration after July 14th : EUR 800

Non-member, registration before July 14th : EUR 800

Non-member, registration after July 14th : EUR 900

Speaker (except for posters)/Working group chair/Sponsor with exhibition (free registration)

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Dinner (October 19th)(*)

I will NOT participate in the Symposium Dinner - River cruise (included in the registration fee)

I will participate in the Symposium Dinner - River cruise (included in the registration fee)

I will participate in the Symposium Dinner - River cruise (included in the registration fee) and I have special dietary needs or allergies (please specify, below)

I will purchase additional place(s) for the Symposium Dinner - River cruise. Please contact the EQALM Office regarding availability and cost

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Please specify the special dietary needs or allergies

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Please type the characters you see in the picture.(*)

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Payment
The invoice will be sent by e-mail before the Symposium.
To avoid confusion, please include your name and organization with your payment.