Registration form



Personal Details


Title *
First name *
Last name *
Email *
Affiliation *
Address (Street, No) *
City *
Country *
Zip code *
Phone *
Registration fee *
A confirmation letter by the head of the Department/School/Unit is required for PhD Student registration *
Accompany persons - 150€ *
Dietary restriction

Invoice


Please complete the following fields to receive an invoice
Name/ Address
Tax file number (VAT)



All prices are in EURO (€)


Terms and conditions
1. The data collected will be used only for the purposes of registration and identification of participants in this event. According to international legislation you are given the right to access, modify and/or delete your data, needing only to send an email to envira2017@ftmc.lt , stating your intention.

Terms *   


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