Participant Registration

Registration form

E-mail address*

Name*

Given Name / First Name / Christian Name Family Name / Last Name

Scientific degree*

Position*

(e.g. assistant professor)

Name of the University (Affiliation)*

(in English)

Name of the University (Affiliation)*

(in the original language)

Name of the Faculty

(in English)

Name of the Department

(in English)

Address*

Street Address Address Line 2 City ZIP / Postal Code Country

Contact phone*

e.g. mobile, only in emergency, do not forget to provide your country code

FEES AND INVOICES

I register as:*

Corresponding author
Co-author
Passive participant
Guest

My membership fee is (choose one option):*

0 USD as I am already a member of the AIB on the day of the conference
100 USD – regular membership fee
50 USD – student membership fee (Proof of full-time student status is required. Full benefits and voting rights apply)
50 USD – emeritus membership fee (Retired individuals without full-time employment. Must be at least 68 years old and be a member of AIB for the preceding ten years. Please email us if you qualify. Full benefits and voting rights apply)

My conference fee is (choose one option):*

200 EUR – Certified Doctoral student
350 EUR – Early bird registration (before July 15, 2019)
400 EUR – Regular registration (from July 16 to August 31, 2019)
500 EUR – Late registration (from September 1 to September 15, 2019)
70 EUR – Guest at social events & gala dinner
Keynote Speakers, Invited Speakers, Special Guests

Altogether I will pay the following amounts (e.g. 350 EUR + 100 USD; please remember to book and pay for your hotel on your own)

INVOICE

Please provide us with full data for VAT invoice processing

Name of the Payer*

First Last

Payer Address*

Street Address Address Line 2 City ZIP / Postal Code Country

VAT Payer Number*

PUBLICATION

Title of your paper*

Co-author of co-authors of the paper*

The paper suits the following conference track:*

(please select the most suitable one)

First preference for my publication:

(The final publication destination will be selected by editors of the journals, we do not guarantee anything)

Second preference for my publication:

(The final publication destination will be selected by editors of the journals, we do not guarantee anything)

Third preference for my publication:

(The final publication destination will be selected by editors of the journals, we do not guarantee anything)

FOOD & DIET

My dietary requirements:*

no special preferences
vegetarian

Welcome Reception on 25th September 2019 (Wednesday)*

yes
no

(please, declare if you will join us, if not we will not book a meal for you)

Gala Dinner on 26th September (Thursday)*

yes
no

(please, declare if you will join us, if not we will not book a meal for you)

Please be informed that your name and surname will be presented together with the title of the paper and used for the purpose of dissemination of the event. If you are opposed to the use of this information, please provide information by email: aibcee2019@ktu.lt

Email

This field is for validation purposes and should be left unchanged.