Expert Workshop - Registration

Raith Expert Workshop and Skill Day

Expert Workshop and Skill Day

Registration for Raith Expert Workshop and Skill Day:

First name *

Last name *

Company/Institute *

Department *

Street or post box *

ZIP code *

State (US only)

City *

Country

Phone

E-Mail *

I am currently working on the following system

Participation:

I will participate *

in person in Dortmund

online

Please arrange a hotel room for me (119€) *

yes

Arrival date

Departure date

I would like to contribute to a meeting with a presentation or poster

yes

Please describe the problem and solution you would like to present

Pelase upload any picture or sketch that helps to descibe your topic

Maximum upload size: 516MB

Privacy *

I have read the data privacy statement and agree to having the data I entered in the contact form collected and stored electronically.

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Expert Workshop and Skill Day

Registration for Raith Expert Workshop and Skill Day:

First name *

Last name *

Company/Institute *

Department *

Street or post box *

ZIP code *

State (US only)

City *

Country

Phone

E-Mail *

I am currently working on the following system

Participation:

I will participate *

in person in Dortmund

online

Please arrange a hotel room for me (119€) *

yes

Arrival date

Departure date

I would like to contribute to a meeting with a presentation or poster

yes

Please describe the problem and solution you would like to present

Pelase upload any picture or sketch that helps to descibe your topic

Maximum upload size: 516MB

Privacy *

I have read the data privacy statement and agree to having the data I entered in the contact form collected and stored electronically.

reCAPTCHA

Expert Workshop and Skill Day

Registration for Raith Expert Workshop and Skill Day:

First name *

Last name *

Company/Institute *

Department *

Street or post box *

ZIP code *

State (US only)

City *

Country

Phone

E-Mail *

I am currently working on the following system

Participation:

I will participate *

in person in Dortmund

online

Please arrange a hotel room for me (119€) *

yes

Arrival date

Departure date

I would like to contribute to a meeting with a presentation or poster

yes

Please describe the problem and solution you would like to present

Pelase upload any picture or sketch that helps to descibe your topic

Maximum upload size: 516MB

Privacy *

I have read the data privacy statement and agree to having the data I entered in the contact form collected and stored electronically.

reCAPTCHA

Raith Expert Workshop and Skill Day

Registration for Raith Expert Workshop and Skill Day:

Participation:

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