REGISTRATION FORM
Swiss Winter Ingestion Conference
St Moritz, Switzerland, February 27 - March 3, 2016
Name
………………………………….
Affiliation
……………………………………
Address
……………………………………
……………………………………
……………………………………
e-mail
……………………………………
Registration category (please mark)

Scientific participant (CHF 200.-)

Non-participant (CHF 75.-)
Total amount:
CHF
…………………
Payments in cash on site.
A signed receipt will be returned at registration in the hotel.