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Société Francophone de Biologie Théorique French-speaking Society for Theoretical Biology |
XXVIth Seminar of the SFBT
Registration Form
Saint-Flour (Cantal - France) : June 18 - 21 2006
General information
[] Student [] Other title: [] I donēt wish to compete for the Delattre Price NAME: Given Name(s): Phone: LABORATORY and MAILING ADDRESS: E-mail: Fax:
Communication
[] 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
Accommodation
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:
Payment
Enclosed [] 125 EUR (SFBT member student) [] 160 EUR (student) [] 235 EUR (SFBT member) [] 280 EUR (other participant) in the form of
- a cheque payable to the SFBT
- an order payable to the SFBT, INSERM U 467, CHU Necker, 156 rue de Vaugirard, F-75730 Paris Cedex 15
[] 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).