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On-line early registration 2019 for M24-M27

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
Please kindly note that your registration is automatically confirmed when you have paid 20€. 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 payment please do not hesitate to contact us at admin-eeci@l2s.centralesupelec.fr

We will inform you latest 05/03/2019 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.
PAYMENT
*Early Registration :
Early registration: 4 modules: 600€
Early registration: 1 module: 300€
Reduced registration (for self-financed Chinese PhD students): 4 modules: 300 euros
Reduced registration (for self-financed Chinese PhD students): 1 module: 150 euros
Choice of the module (only if you choose 1 module):
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
Champ paiement

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