ESM'2008 Registration Form

(Or use the fax reply form)

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If e-mail fails, you can also print this information and send / fax it to:
Philippe Geril, EUROSIS-ETI,
European Simulation Office
Greenbridge NV
Wetenschapspark 1
Plassendale 1, B-8400, Ostend, Belgium.
Phone: +32-59-255.330, Fax: +32-59-255.339

Personal Information

user email

Conference Information

PRE-CONFERENCE PRICES VALID TILL OCTOBER 5. After OCTOBER 5, prices will be 50 EUR higher.

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Payment information
BEFORE-OCTOBER-5TH,-to-account-No.-001-4081477-84--European-Technology-Institute,-ETI-Bvba,-FORTIS-BANK,-Torhoutsesteenweg-195,-B-8400-Ostend,-Belgium-IBAN-CODE:-BE03-0014-0814-7784,-SWIFT-CODE:-GEBABEBB-:-001-4081477-84-MENTION-YOUR-NAME-and-ESM-2008-(make-a-print-of-this-form-so-you-know-what-you-submitted)-and-ADD-A-COPY-OF-PAYMENT-TO-THIS-FORM-wrapper">
BEFORE-OCTOBER-5TH-and-send-it-to-Philippe-Geril,-EUROSIS-ETI,-European-Simulation-Office,-Greenbridge-NV,-Technologiepark-1,-Plassendale-1,-B-8400,-Ostend,-Belgium.-(make-a-print-of-this-form-so-you-know-what-you-submitted)-wrapper">
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