Registration Form

Please complete the registration form below and send it to IRAM scientific secretary (berjaud-at-iram.fr).

Mrs. Cathy Berjaud - Scientific Secretariat IRAM 
300, Rue de la Piscine
F-38406 Saint Martin d'Hères, France
Fax :  +33 476 51 59 38

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Name:
Institute:
Email:
Phone:
Fax:

Poster:  I would like to present a poster: YES/NO
(If yes, please enclose an abstract, not more than 10 lines)

Financial support: I  would like to apply for EU financial support: YES/NO
(If yes,  please enclose a CV. Please also check the funding policy (see the Registration & Funding information page).

Hotel room reservation:  (Please choose among the following options; hotel rates are indicarted in the school webpage)
o I will make my own arrangement
o Please reserve me a single room
o Please reserve me a shared double room
    -- My gender: Female/Male
    -- I am smoker/non smoker
o I would like to have breakfast at the hotel