ICEFM Montpellier 2017 Registration Form
Location: Montpellier, France
Date: 22-24 November, 2017

Registration fees:
- Academic presenter: 250€ (early bird) / 300€ (full fee)
- PhD student, participant, poster presenter : 150€ (early bird) / 200€ (full fee)

The registration fee includes conference materials, coffee breaks and lunch buffets of the 3 days and the gala dinner on 22th.
For further inquiries please contact:

Please complete the information below.

Email address *
Title *
First Name *
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Last Name *
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Preferred Name for Badge *
Your answer
Organization *
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Contact Name and Address to send the invoice *
Your answer
Your answer
Food Preference *
Social Events *
Breaks and lunches *
Payment Full Fee (prior to 30/09/2017) *
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