Preliminary Registration Form


Preliminary Registration Form

Please fill-in the form to be redirected to the appropriate payment page.

Important Notice: a proof of your student status at the time of registration (i.e., scanned copy of the official student enrollment certificate)
must be sent to iwmbd2017@eledia.org to be eligible for PhD Student registration rate.

Surname: *
Name: *
Title: *
Institution: *
Country: *
Email: *
Registration Type: *

* Mandatory Field
 

For any problems with the registration (and payment) process, please contact iwmbd2017@eledia.org.