Registration for the 39th Workshop on Bayesian Inference and Maximum Entropy Methods in Science and Engineering from 30th of June to 5th of July 2019 in Garching/Munich, GERMANY web: www.ipp.mpg.de/maxent2019 email: maxent2019@ipp.mpg.de
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All fields are mandatory!

	Last Name:
	First Name:
	Title (Prof., Dr., etc):
	Student:	yes no
	Gender:	male female
	Institute / Company:
	Address:
	City:
	ZIP code:
	Country:
	Phone number: (incl. internat. dialing code)
	E-mail address:

	I want to present a	poster talk attend the workshop without presentation
	I plan to submit a paper:	yes no
	Number of accompanying persons:

	Please indicate the appropriate registration fee (for organisational purposes only – please use the separate credit card form for the actual payment)
		Early bird standard registration fee (EUR 280 until June 1st 2019) Early bird student registration fee (EUR 190 until June 1st 2019) Standard registration fee (EUR 330 from June 1st 2019) Student registration fee (EUR 230 from June 1st 2019)

	The conference fee includes Access to the conference Conference proceedings Lunch (Mo-Fr) Coffee breaks Welcome reception (Sunday) Tuesday poster session with typical Bavarian food and beverages Conference Banquet (Thursday)

	For logistics reasons we need to know your attendance at the conference banquet:
		I will attend the banquet I will not attend

(c) 2016 This registration system has been created by GWDG, Göttingen.