Foundation of Raith USA Inc.

Registration for Raith User Dinner at the MNE:

First name *

Last name *

Company/Institute *

City *

State (US only)

Country *

Phone

E-Mail *

I am currently working on the following system:

For the dinner I would like to ask for

no special dietary requirements

vegetarin food

other, please specify

Dietary requierements:

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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