XIX Discussions in Structural Molecular Biology and 6th User Meeting of CIISB, Nove Hrady, South Bohemia, 23-25 March 2023 – Registration form

Name *

First

Last

Email *

Student *

Student 4000 CZK (3100 CZK without accommodation), Non-student 5800 CZK (4900 CZK without accommodation), single occupancy accommodation – add 900 CZK. Members of CSSB will have the personal fee (300 CZK) subtracted from the paid amount.

After we confirm your registration, you will be invoiced according to the provided contact information in this registration form at the end of February/beginning of March.

I will present (as a presenting author) *

Note: The number of suggested presentations exceeds the number of time slots and students’ talks will be given preference. Therefore, some senior scientists’ presentations might be refused.

Contribution title (can be preliminary, the title from your abstract is binding)

Flash talk connected to poster

I would like to present my poster in a flash talk – a short 2-minute presentation.

(No guarantee – the flash talk session will be organized only if the number of registered talks makes this possible. We would contact you with further instructions before the conference.)

University or Institution *

The contact information below will be used for invoice generation. Please, make sure that the details match those of the organization receiving the invoice.

Registration number/IČO *

Registration number/IČO/VAT number if not in the above list

Faculty and/or Department *

Street *

This is the address of your institution, not your personal address.

City *

Postal Code *

Accommodation *

For single bed rooms, we charge extra 900 CZK. You can specify single room request below. Single rooms are not guaranteed. Wait for confirmation from the organizers.

Accommodation & Food requests

Other notes

Privacy *

Choice 1

I have read and give my consent to the terms of privacy and rules of personal data processing by the Czech Society for Structural Biology.

Submit your abstract via a separate form on 20th February 2023 the latest. The link to the abstract submission form can be found on the main Conference web page and also after you submit the registration form.

Phone