Registration Form

Name and surname:*

Email address:*

Type of registration:*
StudentYoung researcher/PhD st.Professional researcherCompany

Do you want to participate in workshops? (maximum 2)
BioimagingQuantum dotsFlow cytometry - multi-parameter analysisClinical Flow Cytometry with SysmexElectroporation in vitro3D Cancer SpheroidsCytoFLEX LX MosaicNo workshop

Member of any?
ISEBTTBFSCSNO

Participation in "Evening in the Pharmacy Museum with Buffet & Conversation" (cost 50 PLN)
YesNo
Please issue a VAT invoice
YESNO
Institution/University

Address of Institution*

VAT/NIP Number*