Woman
Man
I prefer not to disclose
|
Last name
| |
First Name |
|
You are |
|
Institution / Company |
|
Address |
|
Zip code |
|
City |
|
Country |
|
Phone : |
|
Fax : |
|
E-mail : |
|
|
Registration Fees per person: Conferences + Housing + Meals |
520
€ : Single room 52 still available! |
400
€ : Double room (to share)* |
|
300
€ : Registration without accomodation |
150
€ : Student registration without accomodation
Send a proof to Lise Rodat-Despoix |
Invited
speaker => Code
|
320 € : Accompanying person * |
*Name of the person you wish to share the room with
|
If you have any dietary restrictions please let us know:
|
|
Payment by |
|
|