Registration form

• Your first name  *
• Your surname  *
• Institute  *
• Laboratory
• Postal address
• Postal code
• Town  *
• Country  *
• Phone
• Your Email  *
• Registration fee (including : attendance at all scientific sessions - congress official documentation - congress bag with complete congress materials - book of abstracts - coffee breaks - thursday evening cocktail and 3 lunch for friday, saturday and sunday)
• Registration fee  *   Student 120€
    Non-student 200€
• Accommodation (including four nights in student room on campus at Cité Descartes) + breakfasts (four breakfasts on campus at Restaurant Rabelais)  *   Student 110€
    Non-student 130€
    No accomodation requested
• Dinners 28, 29 June (Restaurant Rabelais)  *   2 dinners 40€
    No dinner requested
• Banquet (27 june)  *   Yes 50€
    No
• Do you need a vegetarian meal :
• Excursion in Marais Poitevin Regional Park (28 June) - boat tour + museum visit + local wines and fine food tasting. Booking must be made during registration. No booking will be available during conference.  *   Yes 35€
    No
• * Mode of payment : Online paymentBy bank transferBy order form
• Total payment (please calculate yourself)  *

 

The personal data about you is collected for the organization and management of the symposium. They will be retained only as long as necessary for this purpose.

They will under no circumstances be used for other purposes or passed to third parties.

Accordance with the Data Protection Act (Loi Informatique et libertés), you have a right of access, rectification and opposition for legitimate reasons, to the data. You can exercise these rights with the corresponding Computers and freedoms of the University of Poitiers at cil@univ-poitiers.fr