Register for event

Registration form

You are about to register for the Public Engagement and Societal Impact of Science event in Online (CET time zone), via Zoom (6 – 9 February 2024).

*=required

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)*

Individual Participation fee (€ 1100,-)

Individual participation AESIS and partner network member fee (€ 950,-)

Distant time zone fee (€ 395,-)

Participant working and living in Low-Income Economies and Lower-Middle Income Economies (only 5 spaces available) (€ 295,-)

Looking to register as a group? Then please contact us via email (s.chowdhury@aesisnet.com) for more information.

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

Summary

You are about to register yourself as a regular participant for the Public Engagement and Societal Impact of Science event in Online (CET time zone), via Zoom (6 – 9 February 2024).
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