NIA 2017 Symposium - Registration
Terms and conditions: This form accepts registrations for the NIA 2017 symposium on March 30 2017.  All non-member registrations (excluding NIA member guests) will pay a fee of €150 plus VAT, to be payable 30 days after receipt of invoice or by March 29 2017, whichever is soonest.  Non-payment of invoices due may result in the registration being cancelled.  Registration may be cancelled up to 15 days before the event with full refund.  After this time, a refund of 50% will be issued.
Sign in to Google to save your progress. Learn more
First name
Family name
Job title
Organisation
Email
I wish to register as:
Clear selection
Address (non-members only)
VAT number (non-members only)
I confirm that I accept the terms and conditions of this registration *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy