Infection & Immunity Conference

YOUR DATA

Name *

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Surname *

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Academic title/Position *

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E-mail address *

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Phone number *

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Professional license number

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ADDRESS DETAILS

Company/university/institution name *

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Address *

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Postal code *

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City *

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Country *

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CATERING

We invite you to choose the menu for the first and second day of the conference

DOZO RESTAURANT	PINO FACTORY RESTAURANT	NOWA WYTWÓRNIA RESTAURANT
COLD BUFFET Futomaki with salmon, avocado, lettuce, cucumber, Philadelphia cheese Uramaki with asparagus, cucumber, leek, pumpkin, mayonnaise and sesame MAIN COURSE Panang curry with coconut milk, kaffir lime leaves, lime, chicken, lychee, pepper, peanuts, coriander and spring onion, served with jasmine rice Yellow curry with tofu in coconut milk with bell peppers, sweet potato, sugar snap peas, bamboo shoots, cilantro, and spring onion, served with jasmine rice BEVERAGES Sparkling/still water apple/orange juice	SOUP Cream of white vegetables, with herb croutons MAIN COURSE Pumpkin Ravioli, ricotta, butter, chilli, parsley, grana padano - vegetarian Sous-vide chicken fillet, vegetable caponata, tomato sauce SIDES Kaszotto with sun-dried tomatoes Lettuce leaves with lemon vinegrette Oriental red cabbage salad with cilantro and chili BEVERAGES Sparkling/still water lemonade	SOUP Pumpkin soup with croutons MAIN COURSE BBQ ribs Cod fillet in caper-lemon sauce SIDES Boiled vegetable bouquet Red cabbage salad with chili and pineapple Roasted baby potatoes with rosemary Boiled rice in vegetable broth with parsley BEVERAGES Sparkling/still water apple/orange juice

Menu first day *

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Menu second day *

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DINNER

Participation in the dinner (Additional charge: 220 PLN gross)

OTHER

Do you consent to receiving the invoice electronically? *

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Additional questions for the organizers * 0/250

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CONSENTS

* I have read, understand and accept the provisions of the Regulations of the International Scientific Conference "Pathogens & Immunity"

* I consent to the processing of my data by the data administrator: the Institute of Infectious and Immunological Diseases Foundation I3 based in Krakow at ul. Dukatów 10A, e-mail: info@3iresearch.org, my personal data provided in the registration form for participation in the International Scientific Conference "Pathogens & Immunity". Consent is mandatory, so failure to grant it will prevent participation in the Conference. I have the right to withdraw my consent at any time, which will be tantamount to resigning from participation in the Conference, and the withdrawal of consent does not affect the lawfulness of the processing carried out on the basis of consent before its withdrawal. For statistical purposes or related to the organization of the Conference, my personal data may be transferred to the Conference Partners. Detailed information regarding data processing can be found in Annex No. 1 to the Regulations of the International Scientific Conference "Pathogens & Immunity"

* I consent to the processing of my data by the Institute of Infectious and Immunological Diseases Foundation I3 based in Krakow at ul. Dukatów 10A, e-mail: info@3iresearch.org, my personal data, i.e. my image, in connection with participation in the International Scientific Conference "Pathogens & Immunity" 2024. Consent is mandatory, therefore failure to grant it will make it impossible participation in the conference. I have the right to withdraw my consent at any time, which will be tantamount to resigning from participation in the Conference, and the withdrawal of consent does not affect the lawfulness of the processing carried out on the basis of consent before its withdrawal. My image may also be processed by the Conference Partners and distributed under the conditions specified in the Regulations of the International Scientific Conference "Pathogens & Immunity". Detailed information regarding data processing can be found in Annex No. 1 to the Regulations of the International Scientific Conference "Pathogens & Immunity"

I consent to receiving the newsletter electronically from the Institute of Infectious and Immunological Diseases I3 Foundation, which is the administrator of your personal data. Consent is voluntary, but failure to provide it will prevent us from sending you the newsletter. You have the right to withdraw this consent at any time, and the withdrawal of consent does not affect the lawfulness of the processing carried out on the basis of consent before its withdrawal. Detailed information regarding data processing can be found in Annex No. 1 to the Regulations of the International Scientific Conference "Pathogens & Immunity"

I consent to the Institute of Infectious and Immunological Diseases I3 Foundation transferring my personal data (Name, Surname, Company) to the Partners of the International Scientific Conference "Pathogens & Immunity" and for their processing by the Partners as data controllers for marketing purposes. Consent is voluntary, and failure to grant it will result in your personal data not being transferred to Partners for processing for marketing purposes. You have the right to withdraw this consent at any time, and the withdrawal of consent does not affect the lawfulness of the processing carried out on the basis of consent before its withdrawal.

Price for participation in the conference: 850 zł netto