REGISTRATION FORM
First Swiss Winter Ingestion Conference
St Moritz, Switzerland, March 1 - March 6, 2014
Name
………………………………….
Affiliation
……………………………………
Address
……………………………………
……………………………………
……………………………………
e-mail
……………………………………
Registration category (please mark)

Scientific participant without ski pass (CHF 175.-)

Scientific participant with 4 full-day ski pass (CHF 275.-)

Non-participant (CHF 75.-)

Non-participant with 4 full-day ski pass (CHF 175.-)
Total amount:
CHF
…………………
Payments in cash on site.
A signed copy of this form will be returned as a receipt.