Personal information

  Mr Mrs Ms
First name*
Last name*
Organization / Laboratory*
Address*
City*
Zip code*
Country*
Phone*
E-Mail adress*
Profession

Payement method

Credit card
Wire/bank transfert (1)
Order form (Bon de commande)(1)


(1) Bank account details can be downloaded here.

Registration fee

Early registration fees are applicable if payment or order form is recieved not later than March 15, 2011.

Full delegate (600 euros)
Student delegate (450 euros)
   
Additional tickets for accompanying persons (120 euros per person)
It includes the banquet and the social programme

TOTAL account : EUROS

* are mandatory fields