GPZ Haupttagung

Registration

Salutation*

Title

Family name*

First name*

Institution*

Faculty / Department

Street and house number*

Postcode*

City*

Country*

E-mail*

Password*

Re-enter password*

Phone number

Mobile number

Conference fees

	Conference fees in presence	Conference fees online
GPZ membership	80 EUR	30 EUR
non-member	100 EUR	50 EUR

GPZ-membership

Yes, I am a GPZ member

I want to become a GPZ member

Please note the following*:
Privacy Policy

I am aware of the data protection advice and
I agree that my data will be used for the implementation of the GPZ Conference.
The data will not be shared with third parties. All information will be handled in accordance with the German Federal Data Protection Act.

I agree that my personal data (name, institution) will be published within a participants list. I can withdraw my agreement at any time via e-mail to geschaeftsstelle@gpz-online.de.

To submit this form, please enter the number shown

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Registration

Please note the following*: Privacy Policy

Please note the following*:
Privacy Policy