JT AFC HC 2024 - Online registration

Chair - Guest - Speaker - Sponsor - Online registration

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siteUrl: https://www.alphavisa.com/jtafc/2024/06/
codeCongres: 591
fincongres: 1718301600
dateLateRegistration:
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Contact details for correspondence and list of participants

Civility*

Mr Ms

First name*

(e.g. Barbara)

Last name*

(e.g. McClintock)

Position

Company / Institute*

(or establishment, institution...)

Department

Work address*

Postal code*

City*

Country

Phone number*

Mobile number

(not published in the participants list)

E-mail*

Registration

Registration type*

AFC member (1) Non member (3) Student (5)

To benefit from reduced registration fees, become an AFC member now.

For students under 30 only.
A certificate of school attendance or a copy of your student ID must be sent by e-mail to {{congresEmail}}.

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Paiement*

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Paiement*

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Paiement*

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Registration fees include:

admission to all conference sessions,
conference documents,
1 lunch-box,
2 coffee breaks,
VAT 10%.

Payment and invoice

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I wish to pay by *

Credit card Bank cheque Bank transfer Order form (accepted only for French organizations or institutions)

Please send your cheque (in euros and payable in France) to:

Alpha Visa Congrès / {{congresNom}}
624 rue des Grèzes - 34070 Montpellier - France

When making your transfer, please mention "{{congresNom}}" and the first and last name of the participant.

Please mention "{{congresNom}}" on the order form as well as the first and last name of the participant.

To be returned by:

e-mail to {{congresEmail}},
or by regular mail to the following address
Alpha Visa Congrès / {{congresNom}}
624 rue des Grèzes - 34070 Montpellier - France

Invoicing*

at the above address at another address

Billing address

Company / Institute*

Department

Address*

Postal code*

City*

Country

VAT number

(your company's intra-Community VAT number)

Comments

I have read the terms of payment and cancellation and fully accept them.*

Speaker registation

La JT prend en charge (si nécessaire en fonction de votre provenance) :

Mes droits d'inscription
Mon hébergement pour une nuit à l’hôtel Eiffel Segur*** en chambre single
(petit déjeuner inclus). Toute nuitée supplémentaire ou autre consommation (parking, téléphone, mini-bar, etc.) sera à ma charge.

Date d'arrivée

Date de départ

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Une inscription inclue :

l’accès aux conférences,
le déjeuner et les pauses cafés du 29 et 30 mars,

Numéro d’agrément de formation AFC : 82 38 04784 38

Toute annulation doit être effectuée par écrit à

J'ai pris connaissance des conditions d'inscription et d'annulation et je les accepte pleinement.*

Guest - Chair - Sponsor - Registration

Registration fees include:

admission to all conference sessions,
conference documents,
1 lunch-box,
2 coffee breaks.

* Required information

You have the right to access and rectify information concerning you, by writing to:
Alpha Visa Congrès / {{congresNom}} - 624 rue des Grèzes, 34070 Montpellier - France - {{congresEmail}}

Thank you for your registration.

Your registration number: {{id}}.

An automatic confirmation has been sent to you by e-mail.

kind regards.

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

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Registration is now closed.