Online application for poster presentations

Institution Data
Institution
Department/unit
Street and Number
Postal Code
City
Federal State
Country
Homepage
Personal data
Address
Title
First Name
Surname
Job title / Position
Field of Work
 
Workplace
Official phone
Privat phone
E-mail
Information about your poster presentation
Suggested title
Brief information
Additional notes for the advisory board
Send Data
With the sending of the registration to the 26th German Prevention Congress / 14th Annual International Forum there will be an automatic copy of all data sent to your E-Mail adress (as entered above). If this is not the case, please check the above entered E-Mail adress.