LASPRL-4 Registration Form
First Name *
Last Name *
E-mail *
Phone no.
Type of participation *
Presenter (150 EUR)
Presenter-Ph.D./M.A. student (80 EUR)
Non-presenter (80 EUR)
Institution / Affiliation *
Do you require an official receipt for the conference fee *
Yes
No
Please enter your full billing data / address *
Total amount due
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