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-bed room, you may specify below a preferred person to share the room with.

Title Ms Mrs Mr Dr Professor

First name

Last name

Affiliation

email-address

type of desired room single (390 €) double (320 € per person)

preferred person (for double bed only)

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!