Hot topics in Modern Cosmology
Spontaneous Workshop V
9 - 14 May 2011 Cargèse

Registration
(deadline 2 May 2011)

NB : Please do not use the symbol "%"

Title
First Name
Last Name
Gender
Date of Birth
Nationality
Residence
I plan to come...

Present Institution
Current postal address
# - Street
# - Square
ZIP code
City
Region/State
Country 
Email (1)
Email (2)
Phone
Fax

If your candidature is accepted then you will receive an official invitation letter by email.
Do you wish to receive the oroginal version by regular mail post ? 

Talk Title

Monday morning earlier than 10 am is the prefered arrival date

Arrival
Date 
From
Transportation mode
To 
# flight/cruise
Transfert mode 
Departure
Date 
From
Transportation mode 
To 
# flight/cruise
Transfert mode 

Housing (final accomodation depends on availbility) and Meals (if you do not like French cuisine)

Accomodation type 
Meals 


Name of accompanying persons and family bond
(1: spouse or husband, 2: children) and age class (A: adult & Children with age >10; B: age :3-10; C: age <3) ex : Nicole (1A), Arnaud (2B)

Names of participants with whom you wish to share the apartment

Registration fees amount to 200 €uros
They can be payed in €uros either by cash,  credit card, personal checks, traveller's checks or by bank transfer
to the following bank account : M REGISSEUR DE RECETTES AUPRES DE L'IES DE CARGESE UNIVERSITE DE CORSE 20250 CORTE
  • from France, RIB: 10071-20100-00001000062-58 TPBASTIA TRESOR GENERALE
  • from International, IBAN: FR76-1007-1201-0000-0010-0006-258 BDFEFRPPXXX

NB : Please add bank fees, indicate your name and the identification code SW5. The corresponding voucher should be handed to IESC Secretary.


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