Registration

Registration Form

To be sent before the 1st of March


----- GENERAL -----

- Title :
- Last name:
- First name :
- Phone Number:
- Valid EMail:
- Address 1 :
- Address 2:
- Address 3:
- Postal code:
- City:
- State :
- Country :
- Institution (full address):

----- RESEARCH -----

- Status :
- Research interests, relevant publications :
- Recommended by (for students) :

----- POSTER -----

Poster sessions will be organized. Do you wish to present work related to the general theme ?
Tentative Title :

----- OTHERS -----

There are three ways to submit the registration form :

1- By email (preferred) at Cargese email : Copy-Paste the above form, fill it and send it to cargese (arobase) espci.fr

2- By regular mail  :

Julien de Rosny - Cargèse 2011
Institut Langevin - ESPCI,
10 rue Vauquelin
PARIS 75231 Cedex 05
FRANCE

3- By fax : 33 (1) 40 79 44 68

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