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First Name
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Last Name
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Email address
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Institution / Organisation
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Status
Supervisor
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Poster presentation
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Poster title
Additional interest
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I give permission for my name, email address, and affiliation to be shared with all participants of this year’s short course.
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I agree that photographs of me, taken exclusively during the FIERCE Isotope Short Course, may be published on the Internet on the website of FIERCE, https://www.fierce.uni-frankfurt.de/

The course fee is 85€ for participants from academic institutions and 300€ for participants with other affiliations (eg. commercial or industrial). Included is a dinner function on Thursday and coffee during course breaks.
Students from the Goethe University are exempt from paying the fee.

Bank account: Goethe Universitaet                          
IBAN: DE95 5005 0000 0001 0064 10   
Bank: Landesbank Hessen Thueringen                       
SWIFT/BIC: HELADEFF

In the reason for payment / reference field, please enter: Projekt. No. 64 11 02 18, “your name”, FIERCE short course. If you need an invoice in order to pay or you do not have access to a bank account within the SWIFT banking system, please do not hesitate to contact us.

[Important!] Do not forget to put project no. 64 11 02 18 in the reason for payment / reference field or your payment will be untraceably lost!

[Important!] The course fee is non-refundable.

[Important!] Your place will be secured only after payment has been received. You will receive a confirmation email.

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I agree to the data privacy policy
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