ICVPB 2004 Marseille

INTERNATIONAL CONFERENCE ON VOICE PHYSIOLOGY AND BIOMECHANICS

- MARSEILLE (France), August 18-20, 2004 -

 

Accueil
ICVPB Committee
Scientific Program
Fees and registration
General Informations
Accomodation
Marseille, Provence
les francophones entre eux

Registration form :

Please, print the registration form and fill in it then send with paiement to 

 

Laboratoire d'Audio-Phonologie Clinique

Fédération ORL - CHU Timone

13385 Marseille cedex 5, France

Name:..................................................................................

Surname:..............................................................................

Institution:............................................................................

Adress (including Zip):.............................................................

Country:..............................................................................

Phone number and fax:...........................................................

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

Abstract submission  .........................................................Yes -No

Fees ........................................................................... 330 Euros

Accompanying person for Gala Dinner (x70 Euros).......................       Euros

Total ...........................................................................       Euros

bulletPaiement by credit card   (only  Mastercard - Visa)

                                    Number ..............................Exp date..............

bulletPaiement by bank transfer

AFROP - Banque Chaix Marseille Prado (France)

Account number 10178 - 00018 - 0000010202K - 31

IBAN FR43 1017 8000 1800 001 0202 K31

BIC CHAIFR2A

 

bullet

Paiement by check labelled to AFROP in Euros (payable in France only)

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  Dernière mise à jour le : 01 mai 2004.