Aperçu du fichier



MATPOST'2011

4th European Conference

on HV & MV Substation Equipment

23 - 24 November 2011, Lyon, France



Please complete and return this form to:

SEE, 17 rue de l'Amiral Hamelin - 75783 PARIS CEDEX 16 - France

Tel.: +33 (0)1 56 90 37 11 - Fax: +33 (0)1 56 90 37 08 - E-mail:
HYPERLINK "mailto:congres@see.asso.fr" congres@see.asso.fr

On-line registration is advised via the Conference Website HYPERLINK
"http://www.matpost2011.org" www.matpost2011.org

Registration Form



Please use BLOCK CAPITALS when filling in this form

Family Name: FORMTEXT ????? First Name (s): FORMTEXT ?????

Title (Prof, Dr, etc....) : FORMTEXT ????? Job position : FORMTEXT
?????

Company : FORMTEXT ????? Address : FORMTEXT ?????

Zip code : FORMTEXT ????? City : FORMTEXT ?????

Country : FORMTEXT ????? Email : FORMTEXT ?????

Tel : FORMTEXT ????? Fax : FORMTEXT ?????

Registration to Matpost 2011 Rates before

October 23rd

VAT incl Rates from

October 24th

VAT incl

Non member registration FORMCHECKBOX 695? FORMCHECKBOX 780?

Member* registration FORMCHECKBOX 620? FORMCHECKBOX 695?

Academic non member registration FORMCHECKBOX 450? FORMCHECKBOX
530?

Academic member registration FORMCHECKBOX 395? FORMCHECKBOX 450?

Phd Student registration** (Gala Dinner not included) FORMCHECKBOX
350? FORMCHECKBOX 350?

Gala Dinner only for Phd student registration (Optional) FORMCHECKBOX
80? FORMCHECKBOX 80?

Amount to be paid FORMTEXT ????? FORMTEXT ?????

* Individual Members of SEE and all other organisations which have
sponsored the conference.

** Gala Dinner is not included in the Phd Student registration.

Matpost 2011 registration fee includes : Conference admission,
Conference bag and program, CD Rom proceedings, lunches, Coffee Breaks
on November 23rd and 24th 2011, the Gala dinner of November 23rd except
for phd student.

FORMCHECKBOX I will attend the gala dinner FORMCHECKBOX I will
not attend the gala dinner



Payment



FORMCHECKBOX Check in Euros made payable to SEE / Matpost 2011

FORMCHECKBOX By bank transfer in Euros made payable to ``SEE /
Matpost11'' with no charge for the beneficiary (please attach a copy)

Bank Address: BNP Montparnasse Ent. (00274), Bank # 00274, Bank code #
30004, Account # 00010336242, RIB code 58, IBAN code : FR76 3000 4002
7400 01033624258, BIC : BNPAFRPPPAA

FORMCHECKBOX Credit Card

FORMCHECKBOX Visa FORMCHECKBOX Euro/Mastercard FORMCHECKBOX
American Express

?????

Last 3 digits at the back of credit card : FORMTEXT ????? Card n?.
FORMTEXT ?????

Cardholder's name: FORMTEXT ????? Expiry date: FORMTEXT ?????

Date: FORMTEXT ????? Signature: FORMTEXT ?????

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Registration by purchase order is possible. To do so, return this
registration form together with the purchase order to SEE by mail or by
fax at + 33 (0) 1 56 90 37 08.

Any cancellation must be sent to SEE before November 1st 2011 upon
written notice only. After this date the full conference fee will be
payable and no refund will be possible. Please note that registration
cannot be made by telephone or email.

For further information regarding the registration, please contact the
Matpost 2011 Conference office: HYPERLINK "mailto:congres@see.asso.fr"
congres@see.asso.fr

Merci de completer ce formulaire et de le retourner a :

Please complete and return this form to:

SEE, 17 rue de l'Amiral Hamelin - 75783 PARIS CEDEX 16 - France

Tel.: +33 (0)1 56 90 37 11 - Fax: +33 (0)1 56 90 37 08

Societe de l'Electricite, de L'Electronique et des Technologies de
l'Information et de la Communication

Association reconnue d'utilite publique par decret du 7 decembre 1886 -
Siret 785 393 232 00042 - APE 9412Z

N? Identification FR 44 785 393 232

17 rue de l'amiral Hamelin - 75783 Paris cedex 16 - HYPERLINK
"http://www.see.asso.fr" www.see.asso.fr