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Last name:

First name:

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Status:
Student* (Member or not member ISRA)Member ISRANon ISRA member

Ticket for the gala dinner on Friday, July 13 (free for the attendees)
YesNo

How many people will come with you to the gala ? (without counting you, 75€/accompanying person)

Please indicate special dietary requirements here:
No dietary restrictionVegetarianVegetalianFood allergies/Intolerances
Describe your food allergies/intolerances:

 

*Students are those individuals who currently enrolled in a terminal degree program.

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