GROUP REGISTRATION

To benefit from the group preferential rates you must register at least THREE participants

Please note that this is a temporary registration to establish the invoice.
Every person you register will receive an individual form to confirm their status and their participation.

This field is hidden when viewing the form

Section Événement

This field is hidden when viewing the form

Titre

This field is hidden when viewing the form

events_atoutcom

This field is hidden when viewing the form

SpécialitéEvt

This field is hidden when viewing the form

Organisateur

This field is hidden when viewing the form

AdresseEvt

This field is hidden when viewing the form

VilleEvt

This field is hidden when viewing the form

CodePostalEvt

This field is hidden when viewing the form

PaysEvt

This field is hidden when viewing the form

DateDebut

This field is hidden when viewing the form

DateFin

This field is hidden when viewing the form

TVA

This field is hidden when viewing the form

Section participant

BILLING INFORMATION

Entity making the order(Required)

Ex: Institut Jacque Monod

Name of the person in charge of the order

First Last

Billing Address(Required)

Ex : 10 Rue Albert Einstein

Additional address

Ex : Building, Company, Floor…

Zip Code(Required)

City(Required)

Professional E-mail(Required)

This e-mail will be use to interact with the person in charge of the purchase order

REGISTRATION INFORMATION

Please fill the information of the participants.
To benefit from the preferential rates you must register at least three participants

Participants(Required)

First Name

Last Name

E-mail

REGISTRATION RATES

Please fill below the quantity of participants you register for each kind of rates

Student rate (Required)

Price: 270,00 €

Proof of the student status will be asked
Please enter 0 if you have no participants at this price.

SBCF member rate (Required)

Price: 315,00 €

Proof of membership will be asked
Please enter 0 if you have no participants at this price.

Regular rate (Required)

Price: 375,00 €

Please enter 0 if you have no participants at this price.

GALA DINNER

Thursday October, 22^nd
Dinner cruise on the Seine with the participation of MEMBRANE BAND
Please indicate the number of participant that will attend the gala dinner (to better plan the catering)

Number of participant that will attend the Gala dinner (Required)

Price: 80,00 €

Please enter 0 if you have no participants at the gala dinner.

This field is hidden when viewing the form

PAYMENT

Upload your purchase order

Max. file size: 63 MB.

Total

Payment Method(Required)

Purchase Order