Congres Morning Non Member Ticket

Velden met een * zijn verplicht.

Congres Morning Non-Member TicketName *
Surname *
E-mail adress *
Vegetarian lunch will be provided, do you have any allergies/dietary restrictions?
Which speaker would be your first choice to attend at 10am? (We cannot guarantee you will get this speaker) *
Which speaker would be your second choice to attend at 10am? (We cannot guarantee you will get this speaker) *
Which speaker would be your first choice to attend at 11am? (We cannot guarantee you will get this speaker) *
Which speaker would be your second choice to attend at 11am? (We cannot guarantee you will get this speaker) *
Name of the accountholder paying for the ticket *
I will attend the openinglecture by Dick Schwaab at 9am - Dead minds tell vivid stories
I am an international student
I allow Study Association of Psychology Labyrint to make and publish photos made during this event. In case I do not feel comfortable with it, I will send an e-mail to board@labyrintleiden.nl *

Bevestiging geen robot

Op dit formulier is een beveiliging actief. Los de som op om verder te gaan, en gebruik cijfers in het antwoord.

Congres Morning Non Member Ticket

Sponsoren