Registration Form - Bundesanstalt für Gewässerkunde

Registration Form
(to be returned by telefax, mail or E-mail)
Please make sure that this binding registration is received by 10 February 2017.
To:
Bundesanstalt für Gewässerkunde
z. Hd. Frau Strunck
Postfach 20 02 53
56002 Koblenz
GERMANY
Fax:
E-mail:
++49-261-13065632
[email protected]
Workshop
Integrative approaches to remove compounds of emerging concern (CECs)
in wastewater treatment
7-8 March 2017 in Koblenz, Germany
Name, First name:
Institution:
Street/Post Box:
Postal Code:
City/Country:
Telephone:
E-mail:
I will participate in the workshop on Tuesday, 7 March 2017.
yes
no
I will participate in the dinner on Tuesday, 7 March 2017.
yes
no
I will participate in the workshop on Wednesday, 8 March 2017.
yes
no
I would like to present a poster. The title will be:
Date
Signature