3 eme Conférence Internationale sur la Sécurité Hydrogène

International Conference on Hydrogen Safety (ICHS3) jointly organised by IA HySafe and IEA HIA with the financial support of the Collectivité territoriale de Corse, the French Republic and European Union in the frame of the ERDF Programme 2007-2013

REGISTRATION FORM


Nb pers :
1 2
Organization :
Job or status :
Genre :
Mrs Ms Mr
Name and firstname*:
Date of birth :
/ /
Adress :
Zip code :
City :
Country :
Phone :
Fax :
Email :
Organization :
Job or status :
Genre :
Mrs Ms Mr
Name and firstname*:
Date of birth :
/ /
Adress :
Zip code :
City :
Country :
Phone :
Fax :
Email :

CATEGORY ADVANCE PRICE
(before July 1st)		 LATE PRICE
(after July 1st)		 INCLUDES PERS. 1 PERS. 2
A
Attendant		 550 € 600 € Conference proceedings + conference program + coffee breaks + 3 lunches + 1 gala dinner
B
Student		 250 € 300 € Conference proceedings + conference program + coffee breaks
Gala dinner and lunches excluded
C
Accompanying Person		 100 € 100 € Only gala dinner
D
Extra ticket for lunches		 35 € 35 € 1 ticket per lunches
E
Extra copy of proceedings		 30 € 30 € Proceedings

Please tick the appropriate boxes (Dinner are included in fees A AND C)

Wednesday, September 16th, 2009

Thursday, September 17th, 2009

Friday, September 18th, 2009


Please indicate if you participate to (it doesn't correspond to a registration to these events)

Please indicate if the accompanying pers. participate to (it doesn't correspond to a registration to these events)
If you need some help for your registration , please contact : CORSICA EVENTS
Email : infos@corsicaevents.com - Phone : 00 33 (0)4 95 23 92 45 - Fax : 00 33 (0)4 95 23 92 21
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With the Financial support of