Fields marked with * are mandatory
Family name		*
First name		*
Nationality		*
Company / University name		*
E-mail		*
Address		*
Zip code		*
City		*
Country		*
Phone number
Submitted Paper Number(optional but each paper must have at least one registered author)
Your inscription (All Inclusives, except Gala Dinner)		*	Full registration (350€)  Student registration (125€)  Full registration (online) (70€)  Student registration (online) (0€)
Gala Dinner for participant (50€/person)		*	Yes   No
Number of additional Gala Dinner (70€/person)		*	0   1   2   3   4   5
Participation			Monday - Lunch  Monday - Welcome party  Tuesday - Lunch  Tuesday - Social event (town tour)  Wednesday - Lunch  Thursday - Lunch
Type of payment			Bank card  Bank transfert  Purchase Orders
Special Diet (you and the additional participant(s))
Comments