Congress-SPS-NIP-Morning-ticket

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Congres SPS-NIP Member Morning TicketName *
Surname *
E-mail adress *
SPS-NIP ID Number *
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 *

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Congress-SPS-NIP-Morning-ticket

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