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 02 - E-mail: erts2016@see.asso.fr
REGISTRATION FORM
Last name:
First name (s):
Title (Prof, Dr, etc.…):
Company:
Address:
Zip code:
City:
Country:
Email:
Tel:
ERTS² 2016
R00 : Registration fees (3 days) for :

Author
ERTS² 2016
R01 : Registration fees (3 days) for :

3AF/SEE/SIA member*

Academic
R02 : Registration fees (3 days) for :
 Regular participant
R03 : Registration fees (3 days) for :
students** & retired persons

Start-up

R04 : Registration one day January 27th
R04 : Registration one day January 28th
R04 : Registration one day January 29th
Rates (Incl. VAT) until Rates (Incl.VAT) from
November, 20th 2015 November, 21st 2015
660 €
730 €
Rates (Incl. VAT) until Rates (Incl.VAT) from
November, 15th 2015 November, 16th 2015
660 €
730 €
960 €
1060 €
410 €
450 €
410 €
450 €
90 €
R05 : Additional gala dinner ticket
NOTE
Each presented paper must have at least one nominative registration attached to it does not matter the registration
category.
*Please have your membership number ready when registering on-line.
**Student registration will only be accepted if proof of your student status is emailed to erts2016@see.asso.fr
REGISTRATION FEES FOR
R01, R02 & R03 INCLUDE :
 Coffee breaks and lunches for 3 days
 Welcome reception
 Gala dinner
 Proceedings of the conference
 Access to the conference
 Access to the exhibition
REGISTRATION FEE FOR R04
INCLUDES FOR 1 DAY :
 Coffee breaks and lunches
 Welcome reception(if
applicable)
 Proceedings of the conference
 Access to the conference
 Access to the exhibition
SEE / ERTS2 2016
SEE, 17 rue de l’Amiral Hamelin – 75783 PARIS CEDEX 16 – France
Tel: +33 (0)1 56 90 37 02
E-mail: erts2016@see.asso.fr
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 02 - E-mail: erts2016@see.asso.fr
REGISTRATION & CANCELLATION POLICY
REGISTRATION BY PURCHASE ORDER : Registration by purchase order is possible. In order to do it please return this
registration form together with the purchase order to SEE 17 rue Hamelin 75783 Paris cedex 16 or scanned to
erts2016@see.asso.fr
CANCELLATION : Written cancellation will be honoured if received by January 1st 2016. After this date, all registrations
will be considered final and the corresponding fees owing in full. The organizers cannot take responsibility for cancellations
made after this date as reimbursement will not be possible.
PAYMENT
TOTAL AMOUNT TO BE PAID :
Check in Euros made payable to SEE / ERTS² 2016
By bank transfer in Euros made payable to “SEE / ERTS² 2016” with no charge for the beneficiary
Bank Address: BNP PARIBAS TOULOUSE – France
Bank # : 01017
Bank code # : 30004
Account # : 00010059749
RIB code : 03
IBAN code : FR76 3000 4010 1700 0100 5974 903
BIC : BNPAFRPPALB
Credit Card
Visa
Euro/Mastercard
American Express
I hereby authorise SEE to charge my credit card with the amount of :
€
Card n°:
Expiry date:
Cardholder’s name:
Last 3 digits (back of credit card) :
Signature:
Date:
SEE / ERTS2 2016
SEE, 17 rue de l’Amiral Hamelin – 75783 PARIS CEDEX 16 – France
Tel: +33 (0)1 56 90 37 02
E-mail: erts2016@see.asso.fr