Registration: Congress RNI - VIII Innovation Forum – 4th and 5th June 2018 - Nîmes
Email address *
These DETAILS will be SHOWN ON your PASS and Registration Invoice. Thanks for FILLING IN carefully about these DETAILS.
Surname *
Your answer
First Name *
Your answer
Institution *
Your answer
Your answer
Address *
Your answer
Invoice Address (if different)
Your answer
Your answer
Your activities
The gala dinner is included in the registration fees. However, your participation should be planned. If you need a specific food menu, please contact Sophie Mignon (
Visit of Nîmes (optional) More informations:
Attending the gala dinner : Tick the answer *
Participation to the visit of Nîmes: with the choice of: ( Tick the answer ) *
Registration fees and payment ways
Registration will be taken into account only on receipt of the payment (CB and cash unavailable). Payment is to be returned by email or post to: - Laboratoire MRM, Marie-Laure Weber, Place Eugène Bataillon CC19001, 34095 Montpellier - France
Choice of the fare - before May 4
Choix du tarif - Avant le 4 mai *
Mode of payment - before 4 may *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms