DECAY, DISEASE, DEATH in Literatures, Cultures, and Languages

University of Opole, 26-28 September 2016

 

3D Registration form

REGISTRATION FORM

  Personal information

Participant’s name:
Title of the paper:
Affiliation:  

 

Email address:
Mobile phone

Biographical note about the speaker

Please overwrite this text with the most relevant info about you, your career and academic interests. It will be used by the chair to introduce you before your talk

 

 

 

 

 

 

 

 

 

 

 

 

Special requirements: (All rooms will be equipped with projectors, speakers and laptops as standard)

 

If you wish to receive an invoice for the conference at registration, please fill the table below. Participants who make payments thorough their employing institutions will have their invoices sent by post (at addresses specified in the payment order)

Invoice details / dane do faktury

Name of the institution  

 

Address of the institution  

 

 

 

 

NIP – taxpayer’s identification number

(required for Polish participants only)