FGTIS, August 25 - 31
First name *
Your answer
Last name *
Your answer
Institution *
Your answer
Mail *
Your answer
Phone number
Your answer
I wish to attend the lunches *
Required
SOCIAL EVENTS
Please select your choices (for more information go to the web page "Social event" on www.fgtis.estia.fr). You can check all of them.
WORKSHOP leaded by *
Choose two of them (one for Thursday and one for Friday)
Required
I ask for credit (one choice)
I agree to pay *
before August 20
Required
To pay by bank transfer
Titulaire du compte : C.C.I BAYONNE PAYS BASQUE E.S.T.I.A.
· DOMICILIATION CRCA BAYONNE ENTREPRISES
· CODE BANQUE 16906
· CODE GUICHET 00042
· N° DE COMPTE 01015610991
· CLE R.I.B. 59
IDENTIFICATION NATIONALE :
CREDIT AGRICOLE PYRENEES GASCOGNE tél 05 59 12 77 77
CAISSE REGIONALE DE CREIT AGRICOLE MUTUEL PYRENEES GASCOGNE
11 boulevard du Président Kennedy – BP 329 – 65003 TARBES CEDEX

IDENTIFICATION INTERNATIONALE :
IBAN : FR76 1690 6000 4201 0156 1099 159
BIC : Adresse SWIFT : AGRIFRPP869
Accomodation *
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