Registration form ECSA conference 2025

Personal information

First name *

Last name *

Email address*

Mobile phone *

Organisation/institute *

Job title *

Country *

I register for * ECSA conference 2025 - €450

Type of registration * I am an ECSA member - €400 I am an UAntwerp or sponsor staff member - €350 I have a PhD position - €300 No discount - €450

Do you need an invoice? *

Yes

Do you have disabilities we need to take into account? *

Yes

Will attend the conference dinner on Monday 19th? * Yes - €60 No

I have special dietary requirements

Vegetarian

Vegan

Gluten free

Food allergies

Other

Will participate the afternoon excursion on Wednesday 21/5? *

Yes

Will attend the BBQ on Wednesday 21/5? *

Yes

Will participate to the cultural excursion on Thursday 22/5? * Yes - €30 No

Will participate to the excursion on Friday 23/5 - Freshwater estuary * Yes No

Will participate to the excursion on Friday 23/5 - Brackish estuary * Yes No

Will participate to the excursion on Friday 23/5 - Saltwater estuary * Yes No

Videos and photographs will be taken throughout the event and might be used for reports, news item, etc. Please specify if you give consent for your photo'sand videos to be taken *

Yes, I give consent

No, I don't give consent

I have read and agree with the Terms and Conditions on the event page. By using this form you agree with the storage and handling of your data by the the organisating institute.

Total amount €

To complete your payment, click on 'Submit' at the bottom of this form. You will then be taken to a confirmation screen.

Please note: once you have clicked the online payment button, the online payment must be made immediately. The link to the payment platform is offered once.
If for whatever reason the payment did not succeed, please contact us at peter.delee@uantwerpen.be.

Submit

peter.delee@uantwerpen.be is collecting these personal data to maintain the list of conference participants. Under no circumstances will your contact details be passed on to third parties. [d These data will be stored until 31/12/2032. If you would like to view, limit, change or remove your personal data, please send an email to the address above. More information about our privacy policy: www.uantwerpen.be/disclaimer.