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Registration to SSMPG 2017
Fill the following form to register to SSMPG 2017
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Email
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Your email
Last Name.
Provide your last name
Your answer
First name
Provide your first name
Your answer
Email
Provide your institution email
Your answer
Country
Provide the name of the country where you work.
Your answer
Institution
Indicate your working institution
Your answer
Address of your institution
Please indicate the address of your institution
Your answer
Status?
Undergraduate student
PhD student
Postdoc
Professor/Researcher
Other:
Arrival
Please indicate your date of arrival at the conference center.
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DD
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YYYY
Departure
Please indicate your date of departure from the conference center.
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DD
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YYYY
Single
Would you like to stay in a single or in a double room
Single
Double
Roommate
If you want to stay in a double room, you can provide the name of your roommate below.
Your answer
Diet
Please indicate your diet if any.
Your answer
Payment
Provide your mode of payment
Purchase order (bon de commande)
Credit or debit card upon arrival
Check upon arrival
Cash upon arrival
no payment (for instructors)
A copy of your responses will be emailed to the address you provided.
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