XX Congress 2021 Chartres, France

30 September - 02 October 2021

REGISTRATION FORM

Please respond before 25 of May 2021

First Name:

Last Name:

Country:

Association:

Contacts:

Address:

E-mail:
Phone:
Fax:

Accompanying Person:

Transportation:

Please fill in the form fields according to your arrival/departure location

I will arrive at / departure from	ARRIVAL Date/Arrival time/Flight No	DEPARTURE Date/Arrival time/Flight No
Paris Orly ORY
Chartres railway station
Chartres

Even though you may not know the exact arrival/departure hours right now, please fill in as much as possible (fx the date of transportation), so that we will get an idea, how many we have to pick up at the airports. When you have booked your ticket, please send the exact hours and flight number to

Gilles Van Peteghem gilles.vanpeteghem@efa-cgc.com

Participation:

Please fill in the form fields according to your participation

	Single room	Twin room
I will participate in the whole programme from the 30 of September 2021 to the 02 of October 2021	700.00	600.00
Student participant of my organization The UEF Presidency has decided to make it possible for each organization to bring one student participant at half price. The student or his/her organization will pay the full participation fee to the organizers, and after the Congress the organization/student must send an invoice to UEF to get a refund.

Presentation:

I wish to make a presentation during the seminar

Remarks and special requirements can be added here:

Payment details:

You will receive a confirmation by either email or regular mail with further details about payment. Payment must be done along with the registration and your registration is not valid until you have paid.

The banking information for payment:

BANK ACCOUNT: CREDIT MUTUEL

IBAN: FR76 1027 8089 0300 0332 0720 302

BIC (Bank Identifier Code): CMCIFR2A

To verify your payment it is important that you add your name along with the bank transfer. Use only your participant name - NOT company or organization name.
ALL BANK CHARGES must be covered by the sender.

For questions regarding payment please mail to

Gilles Van Peteghem gilles.vanpeteghem@efa-cgc.com

Participants List:

I agree to list my name as a participant on the site!

Security Code:

Please fill the numbers from image bellow to the empty field to submit the registration form:

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