Payment Professional Title * University * First Name * Last name * Country * Street Address * City * Email * Telephone * Please indicate if you have any special dietary needs that need to be taken into consideration: Type of Registration * ERES Participant ERES Participant and GIF/VOGON Member ERES Participant and PhD Student ERES Discount Do you want to pay for other participants? No Yes, for 1 more Yes, for 2 more Yes, for 3 more Yes, for 4 more Type of the 1st aditional participant * ERES Participant ERES Participant and GIF/VOGON Member ERES Participant and PhD Student Full name of the 1st aditional participant * Email of the 1st aditional participant * Type of the 2nd aditional participant * ERES Participant ERES Participant and GIF/VOGON Member ERES Participant and PhD Student Full name of the 2nd aditional participant * Email of the 2nd aditional participant * Type of the 3rd aditional participant * ERES Participant ERES Participant and GIF/VOGON Member ERES Participant and PhD Student Full name of the 3rd aditional participant * Email of the 3rd aditional participant * Type of the 4th aditional participant * ERES Participant ERES Participant and GIF/VOGON Member ERES Participant and PhD Student Full name of the 4th aditional participant * Email of the 4th aditional participant * Accompanying Persons No 1 2 Full name of the 1st accompanying person * Email of the 1st accompanyng person * Full name of the 2nd accompanying person * Email of the 2nd accompanyng person * Total charge in EURO: