Register for 6th IMEKO

Prefix *

First Name *

Last Name *

Sufix *

Gender GenderMaleFemale

Email Address

Mobile phone (international format)

Affiliation

City *

Country *

Nationality

REGISTRATION FEE * REGISTRATION FEE *Participants' fee (live) - Early registration fee until July 01, 2022 - 390 EURVirtual participants' fee - Early registration fee until July 01, 2022 - 290 EURStudents' fee (virtual) - Early registration fee until July 01, 2022 - 200 EURAccompanying persons' fee - Early registration fee until July 01, 2022 - 200 EUR

Additional charges * Additional charges * Conference dinner - 67 EUR Participation in workshop on November 6th, 2022. - FREE

I am: * I am: * IMEKO member Member of the scientific Committee Keynote None of the above

I am also participating at 4th International Congress On Food Safety And Quality. By participating at both the IMEKO conference and the FOODSQ congress we approve a 10% discount on registration fees at both events. I am also participating at 4th International Congress On Food Safety And Quality. By participating at both the IMEKO conference and the FOODSQ congress we approve a 10% discount on registration fees at both events. YES, I am attending FoodSQ NO, I will only attend IMEKO

I wish to register an accompanying person * I wish to register an accompanying person * Yes - 200 EUR No

ACCOMMODATION IN THE CONGRESS HOTEL (HOTEL LACROMA, DUBROVNIK) * ACCOMMODATION IN THE CONGRESS HOTEL (HOTEL LACROMA, DUBROVNIK) * Single Room - 95,00 € per room per night, bed and breakfast Double Room - 108,00 € per room per night, bed and breakfast I do not require accommodation

Date of Arrival *

Departure Date *

BILLING - NAME OF PERSON OR ORGANIZATION PAYING: *

PAYER'S ADDRESS: street *

PAYER'S ADDRESS: city *

PAYER'S ADDRESS: state*

PAYER'S VAT NUMBER: *

PAYER'S E-MAIL: *

PAYER'S TELEPHONE:

Agreement * Agreement * I agree with the public publication of the following data from the form: name, surname, institution, area of interest