4TU.HTM Workshop on Polyelectrolytes

Registration form

4TU.HTM Workshop on Polyeletrolytes

Utrecht, De Witte Vosch, 12 March 2026

Frist name

Last name

Email address

Affiliation

Prof / Postdoc / Phd / Student / Other

Shortly specify your own field of research

Because of the reservation, we assume you will register for the complete workshop. Please confirm this by checking these three boxes (times are indicative, while the programma is still under development):

Lunch (12.00-13.00)

Break (15.00-15.30)

Drinks (16.30-17.30)

Please indicate whether you wish to bring a poster to show your research or not.

Yes, I would like to bring a poster

No, I will not bring a poster

Please indicate whether or not you would like to pitch your research project shortly (max. 2 min).

Yes, if there is an opportunity I would like to pitch my research

No, I do not wish to pitch my research