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Registration form

You are about to register for the Impact of Science 2022 event in Leiden, the Netherlands (22 – 24 June 2022).

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Personal details

First name*

Middle name / Preposition

Last name*

Salutation*

Organisation details

Organisation*

Department

Position*

Contact details

Email address*

Address*

Postal code*

City*

Country*

Phone number*

Mobile number

Registration options

Registration type (and fee)*

Participation fee (non-members) (€ 595,-)

Participation fee (AESIS members) (€ 525,-)

Participation fee (Partner Network members) (€ 525,-)

1 day ticket (€ 245,-)

Participants working and living in Low-Income Economies and Lower-Middle Income Economies (€ 150,-)

Students (including PhD) (€ 375,-)

Live stream the conference (no roundtables or social programme) (€ 125,-)

Guest (please fill in invitation code below)

Please note:

If your invitation code applies to a discount, please note that the discount will be processed in the invoice that you will receive. The discount is not indicated in the calculated summary below or the confirmation email.

If a scholarship applies to this event and you have selected that option, the required application form can be downloaded through this link.

AESIS membership*

Find more information about the types of membership

Payment preference (if guest ticket, select invoice)

Currency preference

Invoicing address is different from the contact details above

Invoicing address

Email address*

Address*

Postal code*

City*

Country*

Invoice reference

VAT number organisation or equivalent (required to include if VAT is not applicable to the invoice and your organisation is entitled to VAT reversed charge)

Which subsession(s) would you like to attend?

COLLABORATION BETWEEN SCIENCE & SOCIETY FOR GREATER IMPACT (22 June 2022, 11.45-13.00)

DEMONSTRATING & EVALUATING SOCIETAL IMPACT OF SCIENCE (23 June 2022, 11.30-12.45)

ROUNDTABLE SESSIONS (23 June 2022, 13.45-14.45)

DEVELOPMENTS FOR IMPROVING SOCIETAL IMPACT OF SCIENCE (24 June 2022, 11.30- 13.00)

Social programme

combination: Tour Hortus Botanicus (22 June 2022) & Boat tour (23 June 2022) at €21,50

22 June 2022 / 15.30-16.30: Tour through the Hortus Botanicus at €8,50

22 June 2022 / 16:30-18:00: Welcoming Reception at Hortus Botanicus (included)

22 June 2022 / 18.30-21.00: Welcoming Dinner at €65,00

23 June 2022 / 15.30-17.00: Leiden Boat Tour at €15,00

23 June 2022 / 18.00-21.00: Conference Dinner at €65,00

24 June 2022 / 15.15: Closing Reception (included)

Other

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Other remarks

Summary

You are about to register yourself as a regular participant for the Impact of Science 2022 event in Leiden, the Netherlands (22 – 24 June 2022).
The total costs for of your registration is € 0 (excluding VAT or PayPal fee, and the discount fee, if you filled in an invitation code, is not applied to the price displayed here. These will be recalculated for your invoice.