Chevreul conference registration form

You will find below the registration form to fill (one per participant for the same groups)
Good news Discounted rates apply until May 20, 2012
A soon to meet you

Your informations

 Mr    Mrs   

Your Chevreul conference

Registration fees include handouts, coffee, lunches (for students lunches are not included).

 S.F.E.L. member (1) : 550 euros
 Non member : 650 euros
 Academic S.F.E.L. member (1) : 300 euros
 Academic non member : 400 euros
 Retired member of S.F.E.L. (1) : 150 euros
 Retired non membre : 200 euros
 Student (with justification) : 0 euros
 Group of 4 persons members (price per pers.) (2) : 440 euros
 Group of 5 persons members (price per pers.) (2) : 400 euros
 Gala dinner June 5 : 91 euros   

(1) These rates apply to members with updated contribution for 2011
(2) These rates apply to groups of persons members of S.F.E.L. in the same company or organisation, paying their registration at once

Your payment

I pay a total sum of 550 euros payable to SFEL :
 check    bank transfer