ReWIRE Neuromodulation conference registration

To register at the ReWIRE symposium, please fill out and submit the form below

If you wish to present a poster, please provide a provisorial title here, and send an abstract via email. In the document please keep the formatting "Up-Style" capitalizing the first word.

If you wish to stay in a double room (room for two persons), you may specify below a preferred person to share the room with. (If no name is given, a room mate will be assigned randomly.)

Title Ms Mrs Mr Dr Professor
First name
Last name
email-address
Address
Affiliation
Street
House number
ZIP
City
Accomodation
type of desired room single (470 €) double (390 € per person)
name of preferred room mate (for double room only)
Presentation
invited speaker
poster
poster title

After registration, we will contact you before the event. If you have any further questions, please feel free to send an email to ReWire-Administration. We are looking forward to seeing you!