CEECHE

Please provide the following information. In order to complete your online registration, you must click 'Submit Registration' after reviewing your information.

Note: Fields marked with an asterisk (*) are mandatory.
Note: Please do not use diacritics!

Conference attendee

Student

Spouse / Guest

*First Name
Middle Name
*Last Name
Title
*Preferred First Name
	this will be printed on your name tag
* Company / Affiliation
	company or university etc. you work with

* Mailing Address (line 1)
Mailing Address (line 2)
* City
* Zip/Postal code
Region / State
* Country

* Phone number 1
	it should include the country code, e.g. +40749123456
Phone number 2
	same format as above
Fax number
	it should include the country code, e.g. +40749123456

* Email address
	We will use this to notify you about events, information you have to submit etc.
* Choose a Password
	You will use this when you want to log in / sign in to your account.

IMPORTANT NOTE
You will receive an email after submitting this form. The email will include the following:
- a PIN (Personal Identification Number). This is a unique number we generate for each registrant.
- the password you provided.

You will need the PIN and the password whenever you want to sign in to your CEECHE account.

Depending on the choices you make below, you might have to fill out additional information in subsequent steps, right after you submit this form.

* I want to submit the abstract:

Now

Later (but before the abstract submission deadline)

I will not submit an abstract nor a paper

* I want to apply for CEECHE financial support:

Now

Later (but before the financial support deadline)

I do not need financial support (for participating to CEECHE)

* I will pay the registration fee:

By Credit Card, nowHow secure is this? ( Unavailable for the moment )

By Credit Card, later (but before the registration payment deadline)

By check/bank transfer

By cash, on site (as soon as I arrive to Cluj-Napoca)

I will request financial support from CEECHE

Final note. Please contact us if you encounter any difficulty in submitting the registration forms, or if you have any additional query.