Late bird ticket with Gala dinner

270.00lei

First and Last Name, with diacritics * (optional)

Current form of education * High School Bachelor's Degree Master's Degree PhD Other

University, Institution or Company * (optional)

Faculty (optional)

Section (optional)

Year of study (optional)

Phone number * (optional)

E-mail address * (optional)

Food preferences * Regular Vegetarian Vegan Other (mention with allergies)

Allergies to any food? * (optional)

Have you participated in any HEART Conference before? * No, this is the first time Second participation Third participation or more

How did you hear about the HEART Conference? * (optional)

Late bird ticket with Gala dinner quantity

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