REGISTRATION

To register for the 3nd International Avian Mycoplasma Conference please fill in the form below.

First name:*
Surname:*
Affiliation:*
Email:*
Mobile Phone:*
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
VAT registration number:
Invoice reference/ PO Number:
Conference registration:*
Any Comment:
Name
This field is for validation purposes and should be left unchanged.

Accomodation

Fine accommodation can be booked during the registration process for which a special discount has been negotiated.
More information will be communicated shortly.