On-line early registration 2019 for M01-M09

*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 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

We will inform you latest 07/01/2019 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.
*Choice of the module
*Early Bird fee :
Early Bird fee - 20€
*Types of registration (to be paid only when the module chosen is confirmed to be opened)
Early Registration before 31/12/2018 : 320 euros
Industrial Early registration before 31/12/2018 : 580 euros
Reduced registration : 150 euros (for Brazilian, Chinese, Indian, Russian and Turkish PhD students attending module in their country.)
*ID card or 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 :