REGISTRATION FORM

MOMENTUM Scientific Conference and MOMENTUM Stakeholder Meeting
June 30th and July 1st - Utrecht

The MOMENTUM project is organizing 2 meetings:
a MOMENTUM Scientific Conference on June 30^th 2025 and a MOMENTUM Stakeholder meeting on July 1^st 2025 (morning).

Via this form you can submit your application to join one or both events.

First name

Surname *

E-mail: *

Organisation

Dietary restrictions

I want to join:

The Scientific Conference on Microplastics & Health on Monday June 30th 2025

I want to present a poster

Please give the (preliminary) title of your poster:
You will receive a mail to give a short abstract (around 200 words)

The Stakeholders event on Tuesday July 1st 2025 (9.30 - 12.00)

I want to join the lunch (12.00 - 13.00)

We will make photo's of the event and some may be shared on LinkedIn and our website.

If you don't want to be on photo's please click this box

We have limited availability for both events. After submission of this form you will hear within 2 weeks if you can join one or both events.

More information about how Utrecht University handles your personal information can be found on www.uu.nl/privacy.

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REGISTRATION FORM MOMENTUM Scientific Conference and MOMENTUM Stakeholder Meeting June 30th and July 1st - Utrecht

REGISTRATION FORM

MOMENTUM Scientific Conference and MOMENTUM Stakeholder Meeting
June 30th and July 1st - Utrecht