Registration ALERT Workshop & School 2017

Personal information

Gender
First name
Surname
Email
Telephone
Position


Address

Institution
Street
City
Zip code
Country

This address will be used in the invoice!


Registration

Workshop School Workshop & School

ALERT member
Non-member

Date and time of arrival:
Date and time of departure:
Type of transport
Room (accomodation of PhD students recommended in double rooms)
Room shared with: (leave empty if not known)

Membership Status    Workshop   School
MEMBERS of ALERT Geomaterials Student 100€ free
Doctor/Professor 150€ free
NON-MEMBERS academic Student 200€ 100€
Doctor/Professor 250€ 150€
NON-MEMBERS non-academic 250€ 350€

Please choose your method of payment of the registration fees!

Bank transfer Cash in Aussois


Additional remarks


Do not forget to print the invoice for your records!