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Société Francophone de Biologie Théorique French-speaking Society for Theoretical Biology |
[] Student [] Other title: [] I donēt wish to compete for the Delattre Price NAME: Given Name(s): Phone: LABORATORY and MAILING ADDRESS: E-mail: Fax:
[] I wish to present a communication: [] Oral [] Poster RESEARCH DOMAIN (Ecology, Medicine, ...): COMMUNICATION TITLE (maximum 120 letters):
NB : A communication summary (250 words) should be sent not later than Monday June 5 2006 to David NERINI (mailto:nerini(o)com.univ-mrs.fr). Oral communications will be accepted within available time. See the author's instructions for more details.
[] I wish to participate to this Seminar proceedings by submitting an article to Acta Biotheoretica
Prices include accommodation and meals from Sunday evening (June 18) till Wednesday afternoon (June 21), i.e. 3 nights and complete pension.
Arrival Date: Arrival Hour: Departure Date: Departure Hour: [] I am accompanied and wish a double room Name of the accompanying person:
Enclosed [] 125 EUR (SFBT member student) [] 160 EUR (student) [] 235 EUR (SFBT member) [] 280 EUR (other participant) in the form of
[] I wish to receive a bill. [] I join my SFBT membership for this year.
NB : Membership form [pdf]
This form and the cheque or the possible order should be transmitted before June 5 to
David Nerini, Centre d'Océanologie de Marseille, Laboratoire de Microbiologie, de Géochimie et d'Ecologie Marines, UMR CNRS 6117, Campus de Luminy - Case 901, F-13288 Marseille Cedex 09,
Fax: +33 (0)4 91 82 91 19, mailto:nerini(o)com.univ-mrs.fr
Date: Signature:
(#) Attention: For proper processing, the order should mention the Name(s) of concerned Member(s).
