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Congress Registration before February 1st 2012

* Please fill in the mandatory fields

 
Company*
Address
City
CP
Country
 
 
   
Please register your colleagues  
Title
Family Name *
First name *
    Please book
your hotel room before
February 1st 2012
  yes   no
 
Direct phone number
E-mail *
 all booking cancellations
will be charged as from
March 1st 2012
 
 
 

Should you wish to cancel or modify your registration, please email Martine Calvat : Cette adresse email est protégée contre les robots des spammeurs, vous devez activer Javascript pour la voir. or Vanessa Joachim : Cette adresse email est protégée contre les robots des spammeurs, vous devez activer Javascript pour la voir.
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