Global Jonathan Edwards Congress 2023
Registration Form

Because of the different conference rates, it is important that you choose the correct category below.

I'm registering as: *

Regular Guest

Student

I'm registering as: *

a student enrolled in a BA, MA, PhD or equivalent degree program

an ETF student

Please fill out the name of the university/college you are attending: *

Please add evidence of student status (scan of university card, letter of your institution, ...) *

Please enter your student card number: *

The reduced rate does not include the congress banquet on Wednesday evening.
You can join the congnress banquet for an additional €70.00.

Yes, I want to join the banquet

Total: €

PERSONAL INFORMATION

Title *

First name *

Surname *

Institutional affiliation

Please check the box below if you need an invitation letter for Belgian Visa:

You've indicated you need an invitation letter.
Please provide your official name above and enter the fields below:

Official name on Passport (if different from above)

Date of Birth *

dd/mm/yyyy

Place of Birth (City / Town + Country) *

Citizenship *

Passport (or European ID card) number *

Passport Expiry Date *

dd/mm/yyyy

Home address:

Street *

House Number *

Postal Code *

City *

Country *

Phone Number (incl. Country code) *

Mobile (incl. Country code) *

Email address *

Emergency contact

Name

Phone number (incl. Country code)

You will receive an invoice.
Please check the box below if the invoice address differs from the address above:

Invoice address:

Organization *

Street *

House Number *

Postal Code *

City *

Country *

Email address *

Liable to VAT *

Yes

VAT Number *

Please mention if you have any health issues and/or special food restrictions or allergies we should take into account:

Method of payment

Please select your preferred method of payment. Payment by check is not possible. *

PayPal, iDeal or Creditcard (Visa/Mastercard)

Wire transfer

You will receive the bank account details by email.

Betaalmethode (numeriek):

Betaald?

* = Input is required

Global Jonathan Edwards Congress 2023 Registration Form

PERSONAL INFORMATION

Method of payment

Global Jonathan Edwards Congress 2023
Registration Form