Name

preferred name on namecard

email address

phone number

institute affiliation

university position

I would like to give a presentation -- Choose -- NO YES

I will participate as a(n) HUSSE member non-HUSSE member PhD student

I wish to participate in Conference dinner -- Choose -- NO YES

I have a special dietary request

Invoice
Provide the exact form of the name and address as you wish it to appear on the invoice

Any other information you would like to share with the organisers

Abstract