{"id":154,"date":"2023-06-20T21:49:56","date_gmt":"2023-06-20T19:49:56","guid":{"rendered":"https:\/\/konferencje.umw.edu.pl\/6iwsm2025\/?page_id=154"},"modified":"2025-06-24T14:19:18","modified_gmt":"2025-06-24T12:19:18","slug":"registration-form","status":"publish","type":"page","link":"https:\/\/konferencje.umw.edu.pl\/6iwsm2025\/registration-form\/","title":{"rendered":"Registration Form"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f370-o1\" lang=\"pl-PL\" dir=\"ltr\" data-wpcf7-id=\"370\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/6iwsm2025\/wp-json\/wp\/v2\/pages\/154#wpcf7-f370-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formularz kontaktowy\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"370\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"pl_PL\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f370-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p>Name and surname:*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n<\/p>\n<p>Email address:*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n<\/p>\n<p>Type of registration:*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"typeofregistration\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"typeofregistration\"><option value=\"Student\">Student<\/option><option value=\"Young researcher\/PhD st.\">Young researcher\/PhD st.<\/option><option value=\"Professional researcher\">Professional researcher<\/option><option value=\"Company\">Company<\/option><\/select><\/span>\n<\/p>\n<p>Do you want to participate in workshops? (maximum 2)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-49\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"Bioimaging\" \/><span class=\"wpcf7-list-item-label\">Bioimaging<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"Quantum dots\" \/><span class=\"wpcf7-list-item-label\">Quantum dots<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"Flow cytometry - multi-parameter analysis\" \/><span class=\"wpcf7-list-item-label\">Flow cytometry - multi-parameter analysis<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"Clinical Flow Cytometry with Sysmex\" \/><span class=\"wpcf7-list-item-label\">Clinical Flow Cytometry with Sysmex<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"Electroporation in vitro\" \/><span class=\"wpcf7-list-item-label\">Electroporation in vitro<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"3D Cancer Spheroids\" \/><span class=\"wpcf7-list-item-label\">3D Cancer Spheroids<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"CytoFLEX LX Mosaic\" \/><span class=\"wpcf7-list-item-label\">CytoFLEX LX Mosaic<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-49[]\" value=\"No workshop\" \/><span class=\"wpcf7-list-item-label\">No workshop<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p>Member of any?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"MEMBER\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"MEMBER\" value=\"ISEBTT\" \/><span class=\"wpcf7-list-item-label\">ISEBTT<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"MEMBER\" value=\"BFSCS\" \/><span class=\"wpcf7-list-item-label\">BFSCS<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"MEMBER\" value=\"NO\" \/><span class=\"wpcf7-list-item-label\">NO<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Participation in \"Evening in the Pharmacy Museum with Buffet &amp; Conversation\" (cost 50 PLN)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"select-408\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"select-408\"><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span><br \/>\nPlease issue a VAT invoice<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"invoice\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">YES<\/span><input type=\"radio\" name=\"invoice\" value=\"YES\" checked=\"checked\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">NO<\/span><input type=\"radio\" name=\"invoice\" value=\"NO\" \/><\/span><\/span><\/span><br \/>\nInstitution\/University<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"area\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"area\" \/><\/span> <\/label>\n<\/p>\n<p>Address of Institution*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"address\" \/><\/span>\n<\/p>\n<p>VAT\/NIP Number*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"VAT\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"VAT\" \/><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Register\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-154","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/konferencje.umw.edu.pl\/6iwsm2025\/wp-json\/wp\/v2\/pages\/154","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/konferencje.umw.edu.pl\/6iwsm2025\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/konferencje.umw.edu.pl\/6iwsm2025\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/konferencje.umw.edu.pl\/6iwsm2025\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/konferencje.umw.edu.pl\/6iwsm2025\/wp-json\/wp\/v2\/comments?post=154"}],"version-history":[{"count":5,"href":"https:\/\/konferencje.umw.edu.pl\/6iwsm2025\/wp-json\/wp\/v2\/pages\/154\/revisions"}],"predecessor-version":[{"id":495,"href":"https:\/\/konferencje.umw.edu.pl\/6iwsm2025\/wp-json\/wp\/v2\/pages\/154\/revisions\/495"}],"wp:attachment":[{"href":"https:\/\/konferencje.umw.edu.pl\/6iwsm2025\/wp-json\/wp\/v2\/media?parent=154"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}