|GEOMED13 - REGISTRATION FORM|
| . All fields marked * required. Thank you.
. If you are not sure of your current wishes or info, you may modify them later, after registration, until payment is done.
|. Please, add firstname.lastname@example.org to your contact book in order to receive GEOMED13's email automated notifications, and information about the conference (send by the LOC committee).|
| Important notice: Full accommodation is included in double room for two people (select a roommate or fill in your accompanying person).
- choosing "no room" is useless
- If you wish, single room is available (double room for single use) for a 80 € TTC extra fee
(University, company, labs,UMR...)*
(only acronyms. Will appear on your GEOMED13 badge.
30 caracters max)*
|Email of administrative contact|
for payment and billing*
|Retype your own E-mail*|
|Accommodation & attendance information|
|Date of arrival*|
|Date of departure*||
please first select your arrival date above
|Room*||No room|Single room|Double room|
|Anti spam protection (reCaptcha by Google)|
|Please, type the two displayed words in the form below in order to verify your real existence. Then click the "register" button to complete your registration to GEOMED13. Thanks !|
|Registration is closed.|