Register for event

Registration form

You are about to register for the Science and (Social) Media for Societal Impact event in Online, available on Zoom (17, 21 & 24 September).

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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)*

Regular participation fee (£ 185,-) (€ 210,-)

Participation AESIS Member (£ 165,-) (€ 190,-)

Ticket Package (Includes 1 x Oxford Course & 3 x Entrepreneurship for PhD's and Post-Docs tickets) (£ 1230,-) (€ 1420,-)

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)

Other

How did you learn about the event?

What do you aim to take away from the event?

Other remarks

What is your academic discipline and the current topic of your research?

Summary

You are about to register yourself as a regular participant for the Science and (Social) Media for Societal Impact event in Online, available on Zoom (17, 21 & 24 September).
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.

Register for event

Registration form

Personal details

Organisation details

Field of work*

Contact details

Registration options

Invoicing address

Which subsession(s) would you like to attend?

Other

Summary

Site

Address

Contact