Registrationform

Registration form
SoTL in the Polder

Personal information

First and last name *

Email address *

Which institution do you work at? *

VU Amsterdam

Other institution

Institution *

Faculty *

Department *

Job title *

How would you like to participate to our programme? (multiple options possible) *

By being present

By submitting an abstract

I agree to pay 50 euros for attendance *

Submit abstract

Who is/are the author(s) of the abstract? *

What is the title of your abstract? *

In what form would you like to contribute (presentation, pecha kucha, fringe, speed date, etc.)? *

Write here in a maximum of 200 words what you will need for your contribution (time, materials), including how your contribution will be interactive in nature *

Write your abstract here in a maximum of 300 words *

Faculty information

Name faculty *

Order number, cost centre or WBS element *

VUnetID *

Invoice details

(Work)address *

ZIP code *

City *

Reference (Order number, cost centre etc.) *

Contact person for invoicing purposes *

E-mail address of contact person for billing purposes *

General questions

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