Registration form IRTI Conference 2019

Please note: Registrations cancelled prior to June 1, 2019 will be refunded minus a €15 cancellation fee. Registrations cancelled after this date will not be eligible for a refund.

Attendee information

Mr./Mrs./Ms. *

Mr.

Mrs.

Ms.

Surname *

Given name(s) *

Initials *

Title *

Function/position *

Institution *

Address or
P.O. Box nr *

Number *

Addition

Zip code *

City *

Country *

Email *

Office phone number *

Home phone number

Date of arrival

Arrival date *

dd/mm/yyyy

Time of arrival

Flight number

Departure date

dd/mm/yyyy

Time of departure

Flight number

Meals

No extra requirements

Vegetarian

Fish only

Other

Registration fee

Early bird fee*: €295 (7 January - 1 March 2019)
Regular fee*: €350
(PhD) student fee**: €150

* including conference participation, a two-years IRTI membership (incl. a subscription to the Journal of Reformed Theology), meals, snacks, coffee/tea/water, local transport in Amsterdam during the conference and a festive dinner.

** including conference participation, meals, snacks, coffee/tea/water, local transport in Amsterdam during the conference and a festive dinner.
If you send your proposal before February 1, you will receive a decision before March 1

Please choose your fee *

Early bird fee, € 295

Regular fee, € 350

PhD fee, € 150

Accompanying partner *

Yes (if partner will participate in meals) - € 250

Name of partner
(if applicable)

If more than one other person is to accompany you, please fill in here their names and whether or not they will participate in the dinners.

Comments

Amount to pay

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