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Registration

Please fill out the form below. Mandatory fields are marked red.
(Payment methods: PayPal account, credit card or money transfer.)

Personal information

Step 1: Choose your event:*

Conference, Wed, 10am - Thu, 4pm (2 days)

Tutorial: Appliance samba4app mit Samba 4, Zarafa und opsi (German)
Tue, 10 am - 5 pm

Barcamp, Fr, 10 am - 5 pm

Step 2: Your status:*

I am the participant

I register on behalf of the participant

orderer - salutation:*

orderer - academic title:

orderer - job title:

orderer - first name:*

orderer - last name:*

orderer - e-mail:*

orderer - organisation:

orderer - address:*

orderer - city:*

orderer - zip:*

orderer - country:*

orderer - phone:

orderer - fax:

Participant information (if different)

Step 3: Participant address

participant - salutation:

participant - academic title:

participant - job title:

participant - first name:

participant - last name:

participant - e-mail:

participant - organisation:

participant - address:

participant - city:

participant - zip:

participant - country:

participant - phone:

participant - fax:

What's on your badge?

badge - name:

(max. 20 characters)

badge - affiliation:

(max. 30 characters)

Payment information (if different)

Step 4: Invoice address

invoice - academic title:

invoice - job title:

invoice - first name:

invoice - last name:

invoice - e-mail:

invoice - organisation:

invoice - address:

invoice - zip:

invoice - city:

invoice - country:

invoice - phone:

invoice - fax:

Step 5: Registration complete and payment:

I pay by bank transfer or cash on arrival

I pay by PayPal
(via PayPal account or guest payment with credit card)

My registered PayPal-E-Mail-Address:

(leave blank for credit card payment without paypal account)

Registration

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