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Registration form

To register to CSLP 2012, please fill the form below. Once it is filled, click on "submit". You will then receive an email containing a summary of your registration. You will need to reply to this email to validate your registration.

Registration fees

Type	Early Registration (till August 20th)	Late Registration (after August 20th)
Student	50 EUR	100 EUR
Non-student	100 EUR	180 EUR

Recall the registration fees cover your participation to the workshop sessions, to the coffee breaks, to the lunches, to the social event, to the Banquet, and the welcome pack (including a usb stick with the proceedings).

Participant information

The fields labeled with (*) are mandatory or else we will not be able to process your registration.

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Firstname (*):
Lastname (*):
Affiliation:
Address:
Zip code:
City (*):
Country (*):
Phone number:
Fax number:
Email address (*):
Student status:		(if so, please send us a copy of your student ID by fax at +33 238 417 137 by Sept. 12th)
Vegetarian:		(if you want to have vegetarian meals, please tick in)

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Lunches

Thursday:

Friday:

Additional meals for Thursday:	0 +1 +2 +3 +4 +5 (18 euros per extra meal)
Additional meals for Friday:	0 +1 +2 +3 +4 +5 (18 euros per extra meal)

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Banquet (thursday night)

Banquet:

Additional meals at the Banquet: 0 +1 +2 +3 +4 +5 (50 euros per extra Banquet meal)

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Social event

Visit of the Castle:

Additional entries to the Castle: 0 +1 +2 +3 +4 +5 (33 euros per extra entry)

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Payment by

Bank transfer:
Check in euros:
Bon de commande (France only):

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Please enter your questions or comments here.


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Last modified: Sun Apr 29 21:56:51 CEST 2012