Registration

Salutation*

First Name*

Last Name*

Name on Name Tag

Your name as you would like it to appear on your name tag, if different from above.

Email*

Affiliation*

Registration Type*

Standard: 400 CHF

Student: 300 CHF

Beta Site Customer: 100 CHF

Voucher

Company / Invoicing Address and Email*

Invoice Address 2*

Invoice Email*

Dietary Requirements / Allergies

Do you have any dietary requirements, allergies, or intolerances that we should take into account for the meals and coffee breaks?

Attending the NanoFrazor User Meeting on March 24th?*

Yes

Attending the Social Event on March 25th?*

Yes

The Social Event will be on Lake Zurich on board of the MS ALBIS. Transfer from the workshop location to Bürkliplatz with busses, return to Bürkliplatz (city center) at about 9:30 p.m. after the event.

Participating in the Poster Session?*

Yes

Declaration of Consent: I agree to have the data I entered in the contact form to be collected and stored electronically. For more information about privacy, see our Privacy Statement.

Declaration of Consent for 3rd parties: Your data will only be disclosed to 3rd parties in accordance with the data protection laws for establishing a contractual relationship or on the basis of our interest in the economic and effective operation of our business.

Zurich Nanofabrication Days

Heidelberg Instruments Nano AG

Manufakt8048 Building, 4th floor
Bändliweg 30
8048 Zürich, Switzerland
+41 44 500 38 00, info-nano@himt.ch

LEGAL NOTICE

DATA PROTECTION

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