REGISTRATION

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Section Événement

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Titre

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events_atoutcom

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SpécialitéEvt

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Organisateur

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AdresseEvt

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VilleEvt

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CodePostalEvt

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PaysEvt

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DateDebut

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DateFin

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TVA

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Section participant

INFORMATION

Gender*

Female
Male
Non-binary
Self-described

Specify your gender

Last Name*

First Name*

Professional E-mail*

Your registration will be validated only by email

Institution (Name of Institute/ University)*

Department / Affiliation*

Billing Address*

Ex : 10 Rue Albert Einstein

Additional address

Ex : Building, Company, Floor…

Zip Code*

City*

Country*

Professional Phone*

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Je suis pris en charge par mon service de formation

Oui
Non

PARTICIPATION

Early Bird Registration Rates – Until June 15th, 2026*

Senior Scientist* – – Single Room 950€
Student and Post Doc** – Shared Twin Room 650€

*Senior Scientist: You will be accomodated in a single room on the estate
**Student and Post Doc: You will be accomodated in a twin room on the estate, shared with another participant

Name of the person you wish to share your room with

First Last

Please ensure that this person is registered for the congress (or will register in the coming days) and agrees to share the room. If no information is provided, the agency will assign roommates.

SHUTTLE SERVICE

Service not validated, to be confirmed (or not) depending on participants’ responses

Are you interested in a shuttle service ?*

I am not interested
I am interested in arranging a shuttle service from Amsterdam Airport to the congress center on Sunday 27th, between 1 p.m. and 2 p.m
I am interested in arranging a shuttle service from the congress center to Amsterdam Airport on Wednesday 30th, between 9 a.m. and 10 a.m

Comment :

SOCIAL EVENT

I wish to participate to the social event on Tuesday, September 28th, 2026*

Yes
No

Specific diet*

Specify your allergies

By registering, and if pictures of me are taken during the event, I accept to appear in the photos that could be broadcast on social networks or website. If you do not accept, you can sign the consent/ non consent document at the welcoming desk so we can identify you.

if you do not accept, check this box

Total

0,00 €

Payment Method*

Bank transfer
Payment by credit card (1.9% Bank charges)

For a Bank Transfer:
Please indicate the name of the congress and your last name as such : AMPK2026_Lastname in the wording of your bank transfer

REGISTRATION

Section Événement

Section participant

INFORMATION

PARTICIPATION

SHUTTLE SERVICE

SOCIAL EVENT

KEY DATES

GENERAL ORGANIZATION