Registration Form

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Online version (regular fee 200€)Face-to-face version (regular fee 500€)Face-to-face version (exemption)
Online version (industry fee 1 200€)Face-to-face version (industry fee 1 800€)Speaker
Online version (exemption)

First Name

Country of Citizenship

City of residence

Affiliation: Institution / Laboratory / Industry

Write a short summary of your career and involvement in neuromuscular disorders (150 words max.)

Note : only select "Yes" if a third-party is paying for you

Invoice Address

Street Address
Street Address 2
City	Region
Postal Code	Country

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General Information

Photograph

Curriculum Vitae

Biosketch

Invoice Information