Registration Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryConference fees *Participant – CHF300.00Registration fees cover the access to the conference, the conference materials and documents, coffee breaks, and welcome apero (offered by the Swiss Plasma Center – EPFL).Social event (Wednesday afternoon, September 3rd, more details in the "Social events" page) *Hike to “La passerelle”Wine testingFree afteroon (thermal baths or other)Hike to "La passerelle" *1 person – CHF0.002 people (with accompanying person) – CHF0.00Wine testing *1 person – CHF20.002 people (with accompanying person) – CHF40.00Social dinner (Wednesday evening, September 3rd, more details in the "Social dinner" page) *Yes, I will take part to the social dinnerNo, I will not take part to the social dinnerSocial dinner participants *1 person – CHF110.002 people (with accompanying person) – CHF220.00MENU *MENU 1 : Gaspacho + Beef rib steak (Entrecôte de bœuf) + Chocolate fondant (Fondant au chocolat)MENU 2 : Salmon tartare (Tartare de saumon) + St. Jacques Risotto + Crème brûléeDecide your menu, including Starter + Main Dish + DessertAllergies / Intolerances / Regimes *AllergiesIntolerancesVegetarianVeganNo specific requestsYou can provide further details in the “Comment or Message” window below the page.MENU – accompanying person *MENU 1 : Gaspacho + Beef rib steak (Entrecôte de bœuf) + Chocolate fondant (Fondant au chocolat)MENU 2 : Salmon tartare (Tartare de saumon) + St. Jacques Risotto + Crème brûléeDecide your menu, including Starter + Main Dish + DessertAllergies / Intolerances / Regimes – accompanying person *AllergiesIntolerancesVegetarianVeganNo specific requestsYou can provide further details in the “Comment or Message” window below the page.Total AmountCHF0.00Comment or MessageGDPR Agreement *By checking this box, I consent to the use of my personal data by EPFL for the purpose of processing my application for this conference (https://go.epfl.ch/lpd).EPFL is required to respect the principles of data protection (https://go.epfl.ch/privacy-policy).MessageSubmit
