REGISTRATION FORM



Title : Miss Mrs Mr Ms Dr







* Visitors needing a visa to participate, please contact the organization: liber2018@univ-lille.fr Please note that the organization adheres to European Union rules regarding visa applications.








Special diet or other restrictions:
Lactose free Gluten free Vegetarian Vegan Other (please specify)




First participation to a LIBER congress

First participation : Yes No


I will participate in the newcomers programme (Wednesday morning, 4 July) :
Yes No


Other participants :
I’ll register only myself I will register also an accompanying person*


Accompanying person means a spouse, a relative, or a friend who is not representing any institution or company but is travelling along with a conference Delegate. If there are two persons from one institution attending as Delegates, each of them must register independently. Accompanying person fee does not include the conference bag.