Registration Form Name Surname University Country E-mail Phone number Title Authors and Department Supervisor of the Paper/Poster and Department Abstract (250-500 words) Keywords (3-5 words) EMSA Member? Please choose: Yes No Do you need an accommodation? (20 zl extra per night) Please choose: Yes No Do you need an invoice? Please choose: Yes No Please check if all given data is correct. There will be no chance to change it! Yes, it’s correct.