PRE-REGISTRATION FORM 23rd SESSION (SARAF-2016-10 to be held in Nantes, France, 10th – 14th October 2016) PLEASE USE BLOCK CAPITALS - Prof – Mr - Dr. - Mrs - Ms - Miss Surname First Name Position Name of Company & Department Nature of company business Address Telephone/Fax E-mail We need an invoice before payment Cheque: we enclose our cheque payable to Agent Comptable d’ONIRIS Bank Transfer: To pay by bank transfer, please tell your bank to include the event code SARAF-10-2016 and the delegate’s surname in the transfer instructions. Transfers should be made to: Account owner: ONIRIS, Atlanpole La Chantrerie, Route de Gachet, 44307 Nantes Cedex 3, France Bank name and address: Trésorerie Générale de Loire Atlantique, 4 Quai de Versailles, BP 93503, 44305 NANTES Cedex 1, France Bank Code Account Number Key 10071 44000 00001000922 12 International Bank Account Number (IBAN) Bank Identifier Code (BIC) FR76 1007 1440 0000 0010 0092 212 TRPUFRP1 Fees: the fee for the one-week course is 2000 Euros. It includes all course sessions, documentation, refreshments, luncheon, one social event and transport between Nantes town centre and Oniris every day of the course. Registration: when the minimum number of participants required for a training session to take place has been attained, registration is effective and you will receive a confirmation notice. Once you have been fully registered for the course, payment is required. In case you cancel your registration, 50 % of the fee will be refunded to you. All enquiries should be made to Florence Ramdin (florence.ramdin@oniris-nantes.fr). Hotel accommodation: the cost of accommodation is not included in the fees. Hotels have to be booked by the participants (http://www.nantes-tourisme.com). We advise you to book hotels located in the heart of the old city. To pre-register for the course, please fill in this form and send it back by e-mail (saraf@oniris-nantes.fr) along with your Curriculum Vitae. SARAF – ONIRIS (Ecole Nationale Vétérinaire, Agroalimentaire et de l’Alimentation Nantes Atlantique) Route de Gachet –CS 50707 – 44307 Nantes Cedex 3 – France - Tel: +33 2 40 68 78 80 – Fax: +33 2 40 68 78 78 – E-mail: saraf@oniris-nantes.fr MOD-SAR-025 version 002 Registration form p1/1