Belgian Mathematical Optimization Workshop

Registration Form

First Name

Last Name

Registration options

The registration fee includes the room for the night from April 22nd to 23rd, lunches on the 22nd and 23rd, dinner on the 22nd and breakfast on the 23rd.

Standard (shared double room) - 310 euros

Single room - 330 euros

I would like to share a room with

Due to the limited number of rooms available, PhD students are asked to share a room. You can indicate above the name of a participant you would like to share a room with. Otherwise, we will make the assignment.

Contributed talk

Title of your talk

Leave empty if you plan to attend without presenting

Invoice data

An invoice will be sent by email for the payment (by bank transfer only). Please make sure to provide accurate data. If the invoice should mention a particular reference (order number), please indicate it in the «Invoice comment» field below. The deadline for payment is March 31, 2024.

Institution

Department

Address (line 1)

Address (line 2)

ZIP code

City

Country

V.A.T.

Invoice comment

Dietary restrictions