Registration Form

Salutation*

First Name(s)*

Last Name*

Nickname

Your preferred name to appear on your name tag.

Position

Affiliation*

Email*

Phone*

Registration Type*

Standard ($100)

Voucher (Free)

Invoice Recipient Address

Invoice Recipient Address 2

Invoice Recipient Email

Payments are made by invoice, sent by email within a few days following registration. Please make sure to check your spam/junk folder.

Which of the following sessions are you registering for?*

Symposium, Dec. 7-8

Company Pitch Session, Dec. 9

Department Chairs and Cleanroom Managers Panel, Dec. 9 (Invitation Only)

Please select all that apply.

Attending the social event on Monday, Dec 8 evening?*

Yes

Submitting an abstract for an oral presentation?*

Yes

Participating in the startup pitch?

Yes

Participating in the poster session?*

Yes

Declaration of Consent: I agree to have the data I entered in the contact form to be collected and stored electronically. For more information about privacy, see our Privacy Statement.

Declaration of Consent for 3rd parties: Your data will only be disclosed to 3rd parties in accordance with the data protection laws for establishing a contractual relationship or on the basis of our interest in the economic and effective operation of our business.

HIN Socials

NYU Socials

New York University – Tandon School of Engineering, 370 Jay Street, Brooklyn, New York

– For paid registration inquiries: Please contact Heidelberg Instruments at info-nano@himt.ch

– For general or logistics questions: Please contact Marina Panina at mp6057@nyu.edu

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Data Protection

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