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Early registration 2021 for M01 to M09

YOUR INFORMATION
*Civility
*Family name (Capital letter)
*First name
*Nationality
*Company / Institute / University
*Laboratory
*Professional Address
*Zip Code
*City
*Country
*Phone
*Email
Status
INVOICE INFORMATION
*Invoice Company name
*Invoice Address
*Invoice Zip Code
*Invoice City
*Invoice Country
Order N°
Name of Supervisor/Accounts Responsible
Phone (Person to contact)
Email (Person to contact)
MODULE INFORMATION
There will be no refund for any cancellation made by the participant. No additional fees will be required for transferring registration to a colleague of the same organisation.
*Choice of the module
PAYMENT
*Early Registration Fee :
Early Registration : 350 euros *
Industrial Early Registration : 600 euros **
Reduced Registration : 150 euros ***
* For self-financed Individuals or those sponsored by Education/Research Academies
** For those sponsored by Industrial Companies/Organizations
*** ON-SITE : For self-financed PhD students coming from countries with low education priorities(#) AND attending module in their country
*** REMOTE: For all PhD students coming from countries with low education priorities(#)
ID Card for reduced Registration fee
Maximum Size sends : 1 Mo / Extension (s) permitted (s) : pdf,doc,jpg
The size of your file exceeds the allowed size. Please reduce your file.
The extension of your file is not permitted.
*ID card or student card
Maximum Size sends : 1 Mo / Extension (s) permitted (s) : pdf,jpg,png,gif
The size of your file exceeds the allowed size. Please reduce your file.
The extension of your file is not permitted.
*Method of payment
Order form
Check
Bank transfer
Credit Card / Paypal
*Type de participant
Invoice date
*Code Captcha
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