Organizer registration for IDS13

First name: *

Last name: *

Univ/Company etc *

Department:

Town: *

Zip code: *

E-mail: *

Cellphone: *

I would like to stay at the hotel during the conference

YES

NO

I need a hotel room for the following night/nights:

Wednesday-Thursday 30 September-1 October

Thursday-Friday 1-2 October

I will attend the welcome reception at Stockholm City Hall on Wednesday September 30.

Yes

No

I will attend the conference dinner at Villa Källhagen on Thursday October 1st.

Yes

No

I want to have lunch on the following day/days:

Wednesday 30 September

Thursday 1 October

Friday 2 October

Dietary requirements

Other information to the organizers:

Agreement: *

Yes, I agree to storage of my personal data according to Kemisamfundets personuppgiftspolicy