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Registration
For multiple registration from the same laboratory, contact first James Devillers (
j.devillers@ctis.fr
) to know the discount offered.
Identity
Title:
Dr
Pr
Mr
Ms
Mrs
First name:
Middle name / initial:
Last name:
Affiliation (institute, company or association) printed on the badge:
Contact information
E-mail:
Address (line 1):
Address (line 2):
ZIP / postal code:
City:
State / Territory (US or Canada only):
Country:
Meeting registration information
Registration type:
Academic
Industrial
Student
Gala diner:
No
Yes (regular menu)
Yes (vegetarian menu)
Accompanying person(s)
Other participant(s) from the same laboratory
Payment
Total:
0
€
Accompanying person @
First name:
Last name:
Gala diner:
No
Yes (regular menu)
Yes (vegetarian menu)
Other participant @
Title:
Dr
Pr
Mr
Ms
Mrs
First name:
Last name:
Student:
No
Yes
Gala diner:
No
Yes (regular menu)
Yes (vegetarian menu)
Email:
