ICmasim2019

1 Your information
2 Registration
3 Payment

Each participant needs to register individually for this event.
Payment can be done afterwards and for several participants from the same company or organization,
Please contact us by email or phone should you require a group invoice:

Please fill the information*

Contenu de type "texte" vide.

Personal information

Title

Dr.
Mr.
Mrs.
Prof.

First name

Last Name

You are ?

Job Title

Phd, teacher, lecturer, scientist, CEO, sales reps, etc

Institution (University, governmental or state services) or Name of your company

Are you a member of an academic society? If so, please select the correct one:

Training course code (if relevant)

Industry or business

Address (business or personal)

Post code

City

Country

Email confimation

Mobile phone:

Billing address

Country

Additionnal information

We want to make sure that we can assist you as much as we can during the conference.
Please advise us if you require special assistance such as hearing-aid earphones or wheelchair assistance (limited area in the conference room for wheelchairs users). please fill this information in the "comments" field.

Please indicate any specific diet

Please add any other important details in the comments field

Comments

CONTACT

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