REGISTRATION FORM

13TH ANNUAL INTERNATIONAL SYMPOSIUM "Space for a Safe and Secure World?"

CONTACT INFORMATION

Title:   *
First Name:   *
Surname:   *
Position:
Organization:
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Postal Address Line 2:
Zip Code:   *
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Fax:
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*: Mandatory fields

REGISTRATION FEE

I wish to register for the Symposium “Space for a Safe and Secure World?” for the following fee:

Before the 23th January 2009 600 € / US$ 750
After the 23th January 2009 800 € / US$ 1000
Retired / Alumni 400 € / US$ 500
Student* 250 € / US$ 300

*If you register as a student, thank you for providing us with a copy of a valid student ID. You may send this proof of identification either by fax to the following number: +33 (0)3 88 65 54 47 or by e-mail at symposium13@isu.isunet.edu


SOCIAL EVENT

A concert and a conference dinner are included in the registration fees for each participant of the Symposium. This social event will be held on the 21st February 2008. If you wish to bring a guest, an additional charge of 20 € / US$ 25 will be requested. Please, tick the relevant information: