On-line early registration 2018

*Family name (Capital letter)
*First name
*Company / Institute / University
*Professional Address
*Zip Code
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)
Please kindly note that your registration is automatically confirmed when you have paid the deposit at the same time. Otherwise it will only be confirmed once we have received your payment / order form / written confirmation by sponsor. If for any reason you are not able to make the deposit payment please do not hesitate to contact us at

We will inform you latest 28/02/2018 whether your module is open or not as well as the steps to follow in each case.

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
*Deposit :
Administration fee - 20€
*Types of registration (to be paid only when the module chosen is confirmed to be opened)
Early Registration before 28/02/2018 : 300 euros
Reduced early registration before 28/02/2018 : 150 euros (for Turkish, Russian and Indians PhD students attending module in their country.)
*ID card and student card
Maximum Size sends : 1 Mo / Extension (s) permitted (s) : pdf,jpg,png,gif
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*Method of payment
Order form
Bank transfer
Credit Card / Paypal
*Type de participant
Invoice date

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Price excl. VAT :
Price inc. VAT :