Anmeldung Staff Week

Staff Week

Persönliche Daten

Titel *

Anrede *

Vorname *

Nachname *

E-Mail *

Telefon

Firma *

What is the name of faculty/school/unit you are affiliated with? *

Job title *

Address Data

Adresse *

PLZ *

Ort *

Land *

Address for the invoice: recipient, street, number, country

Only if it is different from the above mentioned address

Do you have any special needs? (If yes, please specify)

Do you have any nutritional requirements?

Anmerkungen

Confirmation of my attendance *

With this binding registration, I accept that OTH Amberg-Weiden is unable to refund the participation fee of €150,00 (for my non-attendance, absence due to illness, late arrival or any other cause).

I hereby declare that I am responsible and liable for my actions and that OTH Amberg-Weiden will not be held accountable or responsible for any injury/damage caused by me during the entire staff week.

I further agree that OTH Amberg-Weiden is not responsible for any loss or damage to my personal possesions/belongings.

Ich akzeptiere die Datenschutzbestimmungen *

* = Pflichtfeld