REGISTRATION

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Section Événement

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Titre

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events_atoutcom

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SpécialitéEvt

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Organisateur

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AdresseEvt

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VilleEvt

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CodePostalEvt

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PaysEvt

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DateDebut

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DateFin

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TVA

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Section participant

INFORMATION

Gender*

Female
Male
Non-binary
Self-described

Specify your gender

Last Name*

First Name*

Professional E-mail*

Your registration will be validated only by email

Institution (Name of Institute/ University)*

Affiliation (CNRS/INSERM/UMR…)*

Billing Address*

Ex : 10 Rue Albert Einstein

Additional address

Ex : Building, Company, Floor…

Zip Code*

City*

Country*

Professional Phone*

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Je suis pris en charge par mon service de formation

Oui
Non

PARTICIPATION

Registration type*

Individual registration
Registration by purchase order (For your information, registrations by purchase orders are 10€ higher)

SFBD Membership*

I am a SFBD Member
No

To become a member of the SFBD, click HERE

Proof of Membership

Max. file size: 63 MB.

Early Bird Individual Registration Rates – SFBD Member

Academic – Member of SFBD – 430€
Student – Member of SFBD – 330€

Until April 1^st, 2025

Early Bird Individual Registration Rates – Non Member

Academic – Non-member of SFBD – 470€
Student – Non-member of SFBD – 370€
Editors/Industrials – 600€

Until April 1^st, 2025

Early Bird Purchase order Registration Rates – SFBD Member

Academic – Member of SFBD – 440€
Student – Member of SFBD – 340€

Until April 1^st, 2025

Early Bird Purchase order Registration Rates – Non Member

Academic – Non-member of SFBD – 480€
Student – Non-member of SFBD – 380€
Editors/Industrials – 610€

Until April 1^st, 2025

CONGRESS DINNER – Thursday 5^th June, 2025

Venue and information to follow

I would like to participate*

Yes 70€
No

OUTREACH ACTIVITIES

Information to follow

I would like to participate to the outreach activities*

Yes
No

ACCOMMODATION

The ATouTCom Event Agency pre-booked a limited number of accommodation (twin rooms) for 3 nights during the congress. Accommodation will be shared with other participants. This service is limited to 36 person and add a booking fee of 220€ for the 3 nights to the registration rates.

Shared accommodation for 3 nights*

Yes – 220 € (rate for 3 nights)
No

Precise the first and last name of the person you want to share the accommodation with*

First Last

*The service being limited to 36 person, the person you indicate must also be registered and must have chosen to book the accommodation.

Specific diet*

None
Vegetarian
Pork-free
Allergies

Specify your allergies

By registering, and if pictures of me are taken during the event, I accept to appear in the photos that could be broadcast on social networks or website. If you do not accept, you can sign the consent/ non consent document at the welcoming desk so we can identify you.

if you do not accept, check this box

Total

0,00 €

Payment Method*

Bank transfer
Payment by credit card (1.75% Bank charges)
Purchase Order (only if you are supported by your administration)

For a Bank Transfer:
Please indicate the name of the congress and your last name as such : SHAPINGLIFE3_Lastname in the wording of your bank transfer

Section Événement