Online registration
 

>> Step 1 : Formular

Fields marked with a * are mandatory.

* Title: Mrs Ms Mr Dr Pr
* First name:
* Last name:
* Position:
* Company/Organization:
* Address:
State/Province:
* Postal code:
* City:
* Country:
* E-mail:
URL:
* Telephone:
Fax:
* Registration type: Conférencier ( 400  €) Académique ( 450  €) Industriel ( 500 €)
Hotel reservation (optional) Night(s)
room : Double (135 €) Single (110 €)
Arrival date - Departure date (DD/MM/YYYY)
Nights at the Movenpick Hotel, breakfast included

 
Online registration - Contact the webmaster : webmaster@phare.lip6.fr