Mr. Mrs/Ms. Title:

First and Last name:
*

Organization / Institute / Department
*

E-mail:
*

Please indicate if you would like to take this opportunity to introduce yourself and your work to your colleagues by giving a pitch. The pitch should be a brief and informative presentation of no longer than 5 minutes and 3 PowerPoint slides. A tentative title for your pitch presentation is required.

I would like to pitch     Yes       No

Tentative title or research topic of your pitch:

Short description of your pitch (optional):
 

                                                * Required