Blockchain North: Participants

1. Registration
2. General info
3. Summary
4. Payment
5. Confirmation

Select no. of persons

	1

Select no. of persons

Below you sign up for the conference, networking dinner and if you like to visit the Hydro66 data center (2 options, please choose one of them)

For those who want to visit the center, date of birth is mandatory, in next step.

NOTE!

The seminar is free of charge for LTU employees/students, but if canceled after May 18 or in case of absence, 450 SEK will be charged excl. VAT. Cancellations are made by e-mail to: marie.nolin@ltu.se.

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Please enter your personal details and billing address below.

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Below is a summary of your bookings.

Please read through this page and press the button at the bottom of the page.

Fill in the invoice recipient's details below.

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Thank you for your registration!

A confirmation email will be sent to you within a few minutes.
NOTE: If you have not received the confirmation email within 10 minutes, please check your SPAM folder.

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Amount to pay


Total sum ex. VAT:	0,00 SEK

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Person 1

First name

Last name

Organisation

Billing address

Zip/postal code

City

Confirm email

Mobile phone

Gender

Date of birth - mandatory for Hydro66 participants

Date of birth
	Format: dd/mm/yyyy

Food allergies

Person 2

First name

Last name

Organisation

Billing address

Zip/postal code

City

Confirm email

Mobile phone

Gender

Date of birth - mandatory for Hydro66 participants

Date of birth
	Format: dd/mm/yyyy

Food allergies

Person 3

First name

Last name

Organisation

Billing address

Zip/postal code

City

Confirm email

Mobile phone

Gender

Date of birth - mandatory for Hydro66 participants

Date of birth
	Format: dd/mm/yyyy

Food allergies

Person 4

First name

Last name

Organisation

Billing address

Zip/postal code

City

Confirm email

Mobile phone

Gender

Date of birth - mandatory for Hydro66 participants

Date of birth
	Format: dd/mm/yyyy

Food allergies

Person 5

First name

Last name

Organisation

Billing address

Zip/postal code

City

Confirm email

Mobile phone

Gender

Date of birth - mandatory for Hydro66 participants

Date of birth
	Format: dd/mm/yyyy

Food allergies

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