Conference registration

Registration form.doc

1st INTERNATIONAL CONFERENCE

“CONSUMPTION AND CONSUMER RESISTANCE”

NOVEMBER 28, 2008, IRG - UNIVERSITE PARIS EST

REGISTRATION FORM

Last Name: ……………………………………………..……             First Name: ……………………………………………..…… 

Affiliation: …………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………………………………..

Adress: ………………………………………………………………………………………………………………………………...

………………………………………………………………………………………………………………………………………………………………………………..

Postal code: ……………………                 City: ……………………………………………………                                  

Home Phone : …………………………..         Office Phone: ………………………………….. 

Fax Number: ……………………………

Mobile: ……………………………………..

E-mail: ……………………………………………………………………………..

Rate description:                                         ¨         100 € (AFM members)

                   ¨        150 € (AFM Non members)

Registration for the conference provides proceedings, breakfast and luncheon, beverages and light snacks.

Payment method:

¨ Wire transfer

R.I.B.: Trésor Public de Créteil

Code Banque: 10071             Code Guichet: 940 00          N° Compte: 00001000347   Clé : 92

N° de SIRET: 19941111700013 – APE 803 Z

IBAN: FR76 1007 1940 0000 001000347 92

BIC: BDFEFRPPXXX

Date: ……………………………………….          Signature:…………………………………………………………………

Please mail the form prior to November 5, 2008 to:

IRG -  Colloque « Consommation et Résistance(s) des consommateurs »

61 avenue du Général de Gaulle, 94101 Créteil cedex

Make a free website with emyspot.com - Report abuse