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SAN2014 Registration Form
  1. Personal Information
  2. Title
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  3. Last name(*)
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  4. First name(*)
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  5. Organization(*)
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  6. Address(*)
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  7. City(*)
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  8. Postal Code/Zip(*)
  9. Country(*)
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  10. Telephone
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  11. e-Mail(*)
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  12. Paper ID
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    If you have submitted a paper to SAN2014 and it was accepted, please provide it's ID here
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  1. Registration Fees(*)




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    *Full Registration will be 475€ after the November 1st
    **Members of SAN will not receive an early bird discount.
    ***Students must apply for registration with a confirmation of their student status. Students will not receive an early bird discount.
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  1. Special Event
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    On Thursday the 30th of January there will be an opening lecture by Prof. Niels Birbaumer and a welcome reception. This special event is open to all registrants. Please indicate below whether you will be present at this special event.
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  1. Total Ammount
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  2. Choose Payment
  3. Cancelation Policy
    Provided written notice is received by December 31st, 2013 a full refund will be given less a 10% administration charge. It is regretted that for cancellations after December 31st, 2013 or for no-shows there will be no refunds. The organization reserves the right to change or cancel the conference. If the conference is cancelled, you will be offered a refund.
  4. Contact Information
    Martijn Arns or Leon Kenemans (local organizers)
    martijn@brainclinics.com or J.L.Kenemans@uu.nl
    Tel: +31 6 48177919
  5. Organizing Comittee
    John Gruzelier
    Neil Rutherford
    Soren Anderson
    Panagiotis Bamidis
    Leon Kenemans
    Martijn Arns
  6. Bank Details for Offline Payment
    BIC: DNBANOKKXXX
    IBAN:NO9750810832786
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