Registration

Personal Information

Last & First Names *
Affiliation Full Name *
E-mail address *
Authorisation for email publication in the list of participants?:
Position(student, professor,...) *
Postal address
Country *
Phone number
Fax number
Arrival date (DD/MM/YY)
Departure date (DD/MM/YY)
Attendance to the events *	Cocktail Social Event

50 euros on or before 19/09/2007

We accept paiement by credit card. We can not make online paiement so please fill this form and fax it back to the number :
+33(0)4 91661855

Checks (IN EUROS !) are accepted:

paiement should be made to Agent Comptable du CNRS-, please quote the reference 9DAO 0404/1B1SPU