REGISTRATION FORM

3rd COST CONFERENCE, WG1 QUESTIONNAIRE AND

MANAGEMENT COMMITTEE (MC) MEETING

19-22September, 2017

Oeiras, Portugal

Please complete and return to:

no later than August 18, 2017

Name:______

Title, position:______

Institution/Organization:______

Address:______

Phone:______

E-mail:______

SCIENTIFIC PROGRAMME

[ ] I will attend the WG1 Questionnaire meeting on September 19(WG1 COORDINATORS ONLY)

[ ] I will attend the Conference on September 20 -21

[ ] I will attend the Management Committee Meeting on September22(MC-MEMBERS ONLY)

[ ] I propose an abstract* for: a poster [ ] an oral presentation [ ]

(Pleasewrite an abstract according to the Abstract template and send to

no later than August 1st, 2017.)

Title:

______

* NB: - We would like everyone to submit an abstract, to get the widest view of COREMI activities. Abstract proposals will be peer-reviewed and oral presentations selected on the basis of quality and relevance to COREMI aims.

- Decisions to be expected by 4th August.

- Accepted abstracts will be assigned to an appropriate session andauthors will be notified of the methods of presentations (Poster or Oral)

SOCIAL PROGRAMME

I will attend the Welcome Cocktail on September 19 Yes [ ] No [ ]

I will attend the Social Dinner on September20 Yes [ ] No [ ]

I will attend the short tour to Cape Roca on September21 (17.00h) Yes [ ] No [ ]

ACCOMPANYING GUEST/S:

Name/s: ______

MEAL COSTS

N.B. Please tick (✔) the refreshments and meals for you and any guests you may bring, and then add up the total cost; charges are per person. Payment will be taken in cash only at the Conference venue on September 20, and receipts will be provided by the Organizer.

September19:

Coffee break and lunch20 Euro [ ] nr. Persons [ ]

Welcome cocktail(starts at 18:00h)15Euro [ ] nr. Persons [ ]

September 20:

Coffee break and lunch only20 Euro [ ] nr. Persons [ ]

Coffee break, lunch and Social Dinner 60 Euro [ ] nr. Persons [ ]

Social Dinner only40 Euro [ ] nr. Persons [ ]

September 21:

Coffee break and lunch20 Euro [ ] nr. Persons [ ]

Short tour to Cape RocaFree of charge [ ] nr. Persons [ ]

September22: (MC-Members only):

Coffee break and lunch20 Euro [ ] nr. Persons [ ]

Meal preferences – vegetarian (or other, please specify) [ ] nr. Persons [ ]

______

TOTAL € ______

Date:______Signature ______

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