REGISTRATION FORM
“ECNP Industrial Meeting”
Lyon (France) – Villa Villemanzy - November 9, 2011

Note: The participation to the Industrial Meetings is free for all representatives
of Industrial Companies and for ECNP partners.

There is a limited number of sits available.
Registrations will be served on a first-come, first-served basis.

* required fields

* Surname:
* First Name:
* Title:
* Institution:
* Mailing Address:
 
 
 
* City:
* ZIP Code:
* Country:
* Tel. Number:
FAX number:
* E-mail address:

ATTENTION! Your registration will be valid only with your acceptance
of the conditions reported below:
With reference to the Italian law 196/03 we wish to inform you that your personal data will be used within the “ECNP Industrial Meeting," institutional activity. We also wish to inform you that your personal data will be inserted in the participant list relevant to the present event.

I herewith confirm that I agree that my submitted data concerning addresses, booking and methods of payment be electronically stored and processed in order to organize and manage this event. Furthermore, I accept that address and personal data are used for purposes connected to the event's management and will be published in the list of participants.

   

Those participants interested in the other two events
-- 4th ECNP Young Researcher Conference, ECNP Training Workshop and ECNP Industrial Meeting --
should register using the following form.