Registration form

  Your registration can be updated anytime by filling again this form with the same e-mail address. The rate of your first registration will still be applied after a modification.

Registration closes on March, 19th. We would be grateful if you could inform us about any modification you want to make on your registration options. This can be done either by filling again this registration form or by sending an email to: inscription.agrostat2014@oniris-nantes.fr.
Fields with (*) are mandatory. In case of problem during the registration process, please contact inscription.agrostat2014@oniris-nantes.fr.

Civilité *

First name*  

Last name *  

University, Company or Organization *

Address *

Address

Zip code *  

City *  

Country *  

E-mail address(a different e-mail address for each participant) *  

Confirm your e-mail address *  

Phone   

Fax   

Expenses of registration

Warning ! After the 07/02/2014, the registration fees are increased. See here for more details.
I register as:

If you are exempted from the expenses of registration, please give your exemption code:

You can register one or more accompanying person. The registration of one accompanying person enables him (or her) to attend to the gala dinner of the conference gala and to the social activities. The fees of the registration of each accompanying person is 100 euros.
Number of accompanying person:   

Gala dinner (Thursday, March 27 (included in the registration rate), 0 euros)

I will attend the gala dinner:

Yes
No.

Lunch

I want to book one or more lunch(s) :

Wednesday, March 26 (0 euros)
Thursday, March 27 (0 euros)
Friday, March 28 (0 euros)

Social activities (free)

Social activities on the afternoon of Thursday, March 27: To satisfy you at best and facilitate the organization of the social activities, we suggest you formulating two choices in order of priority among the following activities. This will allow us to size better the various groups.

    Social activity (choice 1):

    Social activity (choice 2):

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