PHOTODET 2012 PHOTODET 2012 - Registration
Conference Registration Form
Deadline for regular fee: May 31th, 2012
(limited to 130 persons)
Fields with a star * are mandatory
Personal Data
Gender*
Family Name*
First Name*
Professional Contact Information (address requested by your institution for every receipt/invoice)
Institution*
Address*
Postal code/Zip*
City*
Country*
Phone*
Email*
Fax
Arrival and Departure
Arrival date
Departure date
Events
Number of accompanying person (s)
will you attend:

The conference dinner and the visit of museum

yes no
Vegetarian Yes No

Registration Fee
180 euros by participant.

Your accompanying person for the dinner will have to pay 85 euros.

Package includes:

  • Coffee breaks
  • Lunches from Wednesday to Friday
  • Conference Diner at the Musée d'Orsay
  • and the ticket for the museum visit
Payment
3 different possibilities

Bank transfert to the PHOTODET 2012 workshop bank account:

Bank: TRESOR PUBLIC
Account holder name: Agent Comptable du CNRS - Secteur Ile de France Sud
Agency: 27 rue des Mazières 91011 Evry
Bank Code: 10071
Branch No: 91000
Account No: 00001001722
Key: 33
Swift/Bic: BDFEFRPPXXX
IBAN: FR76.1007.1910.0000.0010.0172.233

The transfer should clearly indicate your name to identify the payment.
An Email notification should be sent to the PHOTODET 2012 workshop secretary
(photodet2012-at-lal.in2p3.fr) and
a copy of the bank transfer should imperatively be handed to the Secretariat
on arrival at the conference site.

Please note that the bank transfer fee are at the participant charge.

Credit Card (payment in advance)
For this type of payment a signed form is required (form).
THIS FORM HAS TO BE SEND BY POST TO:

PHOTODET 2012 Workshop - Mme Valérie Brouillard
Laboratoire de l'Accélérateur Linéaire
Bât. 200 - BP 34 - 91898 ORSAY CEDEX - FRANCE

Cash upon arrival

Bon de commande (for people working in a CNRS laboratory; this includes IN2P3 labs)
Special requirements
Requirements
You need a VISA
Do you need an invitation letter ?
yes no