Registration form European Peatland Conference

Personal information

First name *

Last name *

Email address*

Mobile phone *

Organisation/institute *

Job title *

Country *

I have special dietary requirements Vegetarian
Vegan
Gluten free
Food allergies
Other

Do you have disabilities we need to take into account? * Yes
No

Will you attend the conference on Tuesday 19/9? * Yes
No

Will you attend the conference on Wednesday 20/9? * Yes
No

Will you join the conference organisers for dinner and networking on Tuesday evening 19/9 at the Antwerp Zoo?
A fee of 115 euro will be charged when submitting your registration (the fee covers aperitif, dinner (3 courses) and open bar). yes - €115 no

Will you participate in the closing networking event dinner (and dancing) on Wednesday evening 20/9 at Felixpakhuis?
A fee of 115 euro will be charged when submitting your registration (the fee covers aperitif, dinner (3 courses) and open bar). yes - €115 no

Will you participate to the field trip on Thursday 21/9? * Yes
No

Your registration is to attend the conference in person. Some of the sessions will be streamed online, but this will not be a fully hybrid event. Please indicate if you will be attending the conference in person or will be joining streamed sessions only * I will be attending the conference in person
I will be joining streamed sessions only

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 date by the Care-Peatland organisers

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

Research Group Ecobio (peter.delee@uantwerpen.be) is collecting these personal data for registration purposes. Under no circumstances will these data be passed on to third parties, with the exception of the non-profit organization Natuurpunt, co-organizer of this event. These data will be kept until December 31, 2023. 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.