Complete the form below to register |
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Last Name* | |
First Name* | |
E-mail* | |
Confirm e-mail | |
Phone Number* | (internationalPrefix) (tel) |
Position / Function* | |
Organization* | |
Address* | |
City / Town* | |
Zip / Postal Code | |
Country* | |
Thursday, Feb. 6* | - Morning sessions
- Lunch (+15€)
- Afternoon session
- Welcome Reception (+ ??)
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Friday, Feb. 7* | - Morning sessions
- Lunch (+15€)
- Afternoon session
|
ETA* | input_hours : input_min le xx/xx (xx/xx à mettre à jour en fonction des cases cochées => seule son arrivée le premier jour importe... non ?) |
Payment method (ligne à n'afficher que si un des lunches et/ou reception si elle est payante) | radio button : Credit Card, Cash, Check, Other (+ input) |
Sessions you are most looking forward to (5 max) | (list all sessions + checkboxes) |
Comments | (textarea "If you are one of the conference speakers, please let us know if you have any specific needs in terms of software or hardware") |