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

Registration Rates*

Senior Scientist* – Single Room 1100€
Student and Post Doc** – Shared Twin Room ~~800€~~
Early Bird rate: 650€

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

Name of the person you wish to share your room with

First Last

If you do not already have a roommate, we will assign rooms by gender.
Please ensure that the person you want as your roommate is registered for the congress (or will register in the coming days) and agrees to share the room.

I wish to participate with my partner/spouse, who will not attend the conference sessions but will participate in the catering, accommodation, and social events associated with the meeting.

Yes
No

If you have any specific requirements, please contact us at ampk@atoutcom.com

Name of the person concerned :

First Last

SHUTTLE SERVICE

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

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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

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Comment :

SOCIAL EVENT

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I wish to participate to the social event on Tuesday, September 29th, 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)
Purchase Order

For a Bank Transfer:
Please indicate imperatively the invoice number and your last name in the wording of your bank transfer

REGISTRATION

Section Événement

Section participant

INFORMATION

PARTICIPATION

SHUTTLE SERVICE

SOCIAL EVENT

KEY DATE

GENERAL ORGANIZATION