Fossil Insects – Bridging Past and Present – Registration for Authors

FossilBPP_Rezerwacja z wystąpieniem #19

Title/academic degree*

Last Name

First Name

Type of registration

Registration fee for regular: € 75

Registration fee for students: € 35

Institution/Organization

Address of institution/organisation

Address Line 1

City

Code

Country

Do you need an invoice?

Yes

Please fill a billing information (including TAX ID)

Which thematic session are you presenting:

Significance of Polish palaeoentomology

Fossil Insects - Bridging Past and Present

XXI Century in Palaeoentomology

Type of communication in session Fossils in Baltic amber

Oral presentation

Poster presentation

Preliminary title of presentation in session Fossils in Baltic amber

Type of communication in session Fossils in sediments

Oral presentation

Poster presentation

Preliminary title of presentation in session Fossils in sediments

Type of communication in session Fossils in the World fossil resins

Oral presentation

Poster presentation

Preliminary title of presentation in session Fossils in the World fossil resins

Date of arrival

Date of departure

Organisers pay for a bed in a double room. If you have some preferences please choose it.

double room, with specific participant co-resident

double room, with co-resident (same gender)

single room - extra paid at the hotel

no room, I have accommodation

Please put the name of participant co-resident

I agree to an additional payment for a for a single room. Payment at the hotel, about €20 (spr) per night

Yes, I agree

I declare participation in the gala dinner (22 of May)

Yes

I don't know, I'll decide by 1 May

I declare participation in the dinner (23 of May)

Yes

I don't know, I'll decide by 1 May

I register my participation in the trip on 24 May - ....

Yes

I don't know, I'll decide by 1 May

For meal planning, please choose diet:

gluten-free

vegetarian

vegan

no special diet

Additional comments

I hereby give my consent to processing my personal data concerning name and surname, address, telephone number, and e-mail by the University of Gdańsk with its seat in Gdańsk (80-309) at ul. Bażyńskiego 8, to organize the conference, as well as for publishing and marketing purposes, closely related to the conference "Fossil Record in Resins and Sediments" in Gdansk 23-26 May 2023.

During the Fossil Insects - Bridging Past and Present conference, you (as a conference participant) may be photographed at certain times (e.g. opening ceremony, presentations, coffee breaks). These images may be shared on the conference website. If you do not wish to appear in any images, please contact us via e-mail. I have read the statement above and know that filming and photographing may occur at certain times during the conference.

I have read and agree to the Terms and Conditions and Information clause