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Attendee identification
*
Mr
Mrs
Ms
Dr
Pr
*
Family name
*
First name
*
Organization
*
Job title/Function
*
Address
*
Zip code
*
City
*
Country
***
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Western Sahara*
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Åland Islands
*
Phone
Fax
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*
Email
I hereby accept that my family name, first name, function and organization may be mentionned on the attendees list which will be given during the congress.
Registration fees
Registration fees
250 €
(VAT excl.)
(300 €
*
)
Gala Dinner
Please indicate if you wish to participate to the gala dinner taking place on September 20th at the château la Beaume in Seyssins:
I wish to attend to the conference gala dinner
Please indicate if you wish to add an accompanying person to the gala dinner :
I wish to add an extra gala dinner
56 €
Lunches
Please indicate if you will be present during the lunches :
Lunch on September 20th
Yes
No
Lunch on September 21st
Yes
No
CEA Visit
Please indicate if you wish to attend the CEA visit that will be organized during the conference :
(registration available until September 12th)
CEA Visit
Complet
Yes
No
IMPORTANT : Please present the same ID or passport on site in order to pass the CEA security process.
Maiden name
*
Date of birth
(jj/mm/aaaa)
*
City of birth :
*
Country of birth :
*
Nationality
*
Name of employer
Please upload your passport or id copy here :
*
Cancellation policy
Cancellation before 22/08/2016 : No penality
Cancellation before 01/09/2016 : 50% fees are due
Cancellation after 01/09/2016 : 100% fees are due
Registration & Accommodation
INSIGHT OUTSIDE
39 chemin du vieux chêne
38240 Meylan
Tel: +33 825 595 525 (0,15€/min*)
Fax: +33 4 38 38 18 19
Information desk
monday to friday from 2pm to 5pm
materialchallenges2016@congres-scientifique.com
Organization
17 rue des martyrs,
F-38054 Grenoble Cedex 9
+33 (0)4 38 78 06 99 ; +33 (0)4 38 78 52 96
Pierre-André JACQUES, Joël PAUCHET
pierre-andre.jacques@cea.fr
;
joel.pauchet@cea.fr
(*) Prices starting from fixed line incumbent, a surcharge may be applied by operators, counting the second after the first 45 seconds.
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Insight Outside