68th Annual Meeting of the International Society of Electrochemistry
ISE

Registration

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Participant details (for participant conference badge)
Title:
First Name:*
Last Name:*
Organisation/University:*

Invoice address Important: As a legal document once the invoice or receipt have been issued we are not able to alter the address.
If the payment is made by your Institute, please take care to enter the correct full address. If necessary check first with your administration.
Organisation/University:*
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VAT number or other:
Enter your VAT number or purchase order number if you wish these to appear on your invoice and receipt

Participant e-mail address:*
Phone number:
Registration
Regular:
USD 800.00
Student:
USD 340.00
To receive the student discount please send by e-mail or fax a short letter by your supervisor confirming your student status to the ISE conference organization office:
E-mail: events@ise-online.org

Banquet Thursday 31 August 2017
menu 1: Chicken Saltimbocca with Provolone & Prosciutto
or
menu 2: New England Style Codfish with Lemon Beurre Blanc
Banquet, USD 87.00
Choose the number of banquet tickets and menu
Please check this box if you are vegetarian.
If you have other specific diatary requirements, Please contact events@ise-online.org

Tutorial Lectures on Sunday, 27 August at 13:30
Tutorial Lecture I, Platinum Group Metal Free Catalysts, USD 5.00
Tutorial Lecture II, Biomedical Applications of Electrochemical Systems, USD 5.00
Workshop on Wednesday 30 August at 12:30
Electrochimica Acta Workshop for Authors,  USD 5.00

Do you wish to be included in the list of attendees (name, address and e-mail) given to the exhibitors participating at this conference?
Yes, I wish to be included in the list for exhibitors.
No, I do not wish to be included in the list for exhibitors.

Please enter your accepted Oral and Poster abstract submission ID(s) (or the first 4 words of each title) of the accepted Oral presentation and/or Poster(s) you will be presenting.
This will ensure that your oral presentation and poster appear in the program.
If you have no presentations, please just enter an "x" in the first field below.
Each registered participant can not have more than two (2) presentations.
(Either one accepted oral and one poster presentation or two poster presentations.)
Abstract ID or Title: If more than two presentations are entered, only the first two will be retained.
Abstract ID or Title:
Please do not enter posters you co-authored and which you will not be presenting personally.

Please check this box to confirm you have read, understood,
and accept the terms and conditions.
I would like to become an ISE member and receive a FREE 2018 membership

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