Before submitting Registration, please scan proof of "Money-Transfer" and attach file.

Name *

E-mail address: *

Department: *

Street address: *

Zip or Poastal Code: *

Telephone: *

Country *

Institution: *

City: *

State or Province: *

Fax:

Final early registration Deadline 31st July 2017 *

Students 130€

Regular 200€

Late Registration:

Students 150€

Regular 220€

Participation in Cologne City Tour (last day afternoon)

Your registration is complete only after payment of registration fee.

Please submit payment to:

Account Holder: DGDR eV

Bank Name: Sparkasse Göttingen

IBAN: DE97260500010048300842

BIC: NOLADE21GOE

Payment Purpose/ Verwendungszweck 1:

"German-French DNA Repair Meeting 2017"

(essential for proper allocation)

Payment Purpose/ Verwendungszweck 2: First, Last name

Upload here your proof of "Money-Transfer"

If you must pay later, please download the statement linked HERE and attach it instead of your proof of transfer