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On-line early registration 2021 for M10 to M22

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
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
PAYMENT
*Administration fee :
Administration fee - 20€
*Types of registration (to be paid only when the module chosen is confirmed to be opened)
Early Registration before 28/03/2021 : 350 euros*
Industrial Early registration before 28/03/2021 : 600 euros **
Reduced registration : 150 euros ***
* For self-financed Individuals or those sponsored by Education/Research Academies
** For those sponsored by Industrial Companies/Organizations
*** ON-SITE : For self-financed PhD students coming from countries with low education priorities(#) AND attending module in their country
*** REMOTE: For all PhD students coming from countries with low education priorities(#)
ID Card for reduced Registration fee
Maximum Size sends : 1 Mo / Extension (s) permitted (s) : pdf,doc,jpg
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*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
*Code Captcha
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