DIACPNR 2019

4 to 6 November 2019, Montpellier - France

Speaker registration

Sponsor registration

Exhibitor registration

Online registration

Invitation registration

Waiting list registration

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The workshop is now fully subscribed, and filled up more quickly than we expected. We can put you on a waiting list as we look into the possibility of either expanding the number of participants or offering a « light version » where you can attend the lectures and some practical modules.
If you wish, we will put you on the waiting list. For this we will need you to fill out this form and the questionnaire, so that we can determine whether or not we will have space for you in the topics that are of interest to you.
Thank you for your interest, and we will let you know if we can find room for you once we have the information from your questionnaire.

Contact details for correspondence and list of participants

Honorific

Pr Dr

Title*

Mr Ms

First name*

(e.g. Louis)

Last name*

(e.g. Pasteur)

Position

Company / Institute*

Department

Professional address *

Post code*

Town*

Country*

Office phone*

Mobile phone

(will not appear in the list of participants)

E-mail*

Cc

(if different)

Waiting list for the DIACPNR 2019

I want to register on the waiting list

Registration for the DIACPNR 2019

Registration type*

Standard Student

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Registration fees *

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For students under 30 only.

A student status proof for 2018-19 must be provided to Alpha Visa Congrès before the meeting by e-mail to {{congresEmail}}.

Registration fees include:

admission to all congress sessions,
congress abstract book (pdf),
3 lunches and 6 coffee breaks,
welcome drink,
VAT (20%).

Conference dinner. Fees:

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Number of dinner*

Accommodation

I wish to be informed about accommodation

Payment

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Payment by *

Credit card (secured payment) Bank cheque Bank tranfer Purchase order (allowed only for French institutions)

When making your bank transfer, please indicate the reference: "{{congresNom}} {{data.prenom}} {{data.nom}}".

IBAN code: FR76 1350 6100 0062 1508 6300 032 - BIC code: AGRIFRPP835

Please indicate the reference: "{{congresNom}} {{data.prenom}} {{data.nom}}" on the purchase order
and send it:

by email to {{congresEmail}},
or by fax to +33 4 67 45 57 97,
or by regular mail to:
Alpha Visa Congrès / {{congresNom}}
624 rue des Grèzes
34070 Montpellier
FRANCE

Invoice address*

To the above-mentioned address To a different address

Invoice address

Company / Institution*

Department

Address*

Post code*

Town*

Country

Intracommunity VAT number

(Your company’s intracommunity VAT number)

Comments

I have read and fully accept the payment & cancellation conditions.*

Invitation

Invitation include:

participation in all scientific sessions,
delegate bag: abstract book and documentation,
one lunch and coffee breaks.

Speaker registration

Speaker invitation include:

participation in all scientific sessions,
delegate bag: abstract book and documentation,
lunches and coffee breaks.

Sponsor or exhibitor registation

Sponsor or exhibitor registation include:

participation in all scientific sessions,
delegate bag: abstract book and documentation,
one lunch and coffee breaks.

* Required fields

You have a right of access and rectification to your personal data by contacting: Alpha Visa Congrès / {{congresNom}} - 624 rue des Grèzes, 34070 Montpellier - France - {{congresEmail}}

Thank you for registering.

Your reservation number: {{id}}.

An automatic confirmation has been sent by email.

Best regards

An error has occurred! Your form could not be sent.

Registration closed: no more seats available.