Online Application for an Info Truck

Institution information

Institution

Department/unit

Street and number

Postal code

City

Federal state

Country

Homepage

Information data contact person

Academic title

Here you can enter your academic degree (Prof./Dr.)

First name

Last name

Job title / position

Field of work

Workplace

Official phone

Private phone

E-mail

Information about the info-truck

Title

Abstract

Desired exhibition space

Additional Notes

My info-truck refers to the following topics:

Topic 1

Topic 2

Topic 3

Something different, namely...

Send Data

The above-mentioned person/institution hereby confirms that it is recognized as a non-profit organization or is a public-law institution and does not pursue any commercial purposes.

I have read and accept the information for the application for info-trucks.

I agree that my personal information will be stored by the DPT for the purpose of contacting me, processing my application and statistical analysis. The DPT will not sell, rent or lease your personal information to others. Please read our data protection declaration based on the DSGVO.

After registration you will receive an automatic e-mail with the entered information. If this is not the case, please check the above entered e-mail address.

Online Application for an Info Truck

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