RegistrationTo apply for participation in the Inhomogeneous Cosmologies workshop, please copy/paste/fill and email the following application form as plain text to cosmotorun17 at cosmo.torun.pl by the appropriate deadline. SURNAME:* GIVEN_NAME:* NAME_STRING_ON_BADGE: AFFILIATION:* AFFILIATION_ADDRESS:* AFFILIATION_VAT_ID:** AFFILIATION_STRING_ON_BADGE: ORCID: LIKELY_ARRIVAL_DATE: LIKELY_DEPARTURE_DATE: TALK_TITLE: TALK_ABSTRACT_MAX_200_WORDS: MAIN_SOFTWARE_URL: Accompanying persons at the banquet (30 euros or 130 PLN each): NUMBER_OF_ACCOMPANYING_PERSONS_AT_BANQUET: We make no guarantee regarding dietary requests for you and/or accompanying persons, but your requests will be considered: DIETARY_REQUESTS: Other requests (related to e.g. disability, childcare): OTHER_REQUESTS: We have limited funding to waive registration fees and pay accommodation expenses for some of the participants who lack other sources of funding. If you wish to be considered for this support, please state your circumstances here: CIRCUMSTANCES_FOR_REQUESTING_ACCOM_SUPPORT: DECLARATION:* I wish to participate in the 2-7 July 2017 Inhomogeneous Cosmologies workshop at the Torun Centre for Astronomy and, if accepted, I will pay the required workshop fee of 200 euros or 840 PLN, I agree to abide by the Code of Conduct, and I expect to attend the full workshop. *Fields with a single asterisk are obligatory. **Affiliation VAT ID is the VAT or GST code of your home institution. This is obligatory in many countries where this exists, e.g. most EU: Poland, Spain, Italy; many South American countries. |