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Welcome
Registration and admission
Students residence
Program
 
Financial support
Workshop
 

2006
Summer School on
Image & Robotics.

July 3rd to July 14th
LIRMM

 
 
 
 
 
 
 
 

Summer School on Image and Robotics
July 3rd to July 14th
LIRMM

REGISTRATION FORM

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Registration deadline : Your payment form must be received before, June 3th , 2006.

Personal Data
Mr. Miss. Mrs.
Last name (family name): First name:
e-mail: Phone number
(including area/country code)::
Date of Birth (day/month/year): Citizenship
Institution
Affiliation (e.g. University, Lab.):
Street & number:
City: State:
Zip code: Country:
Phone & Fax Phone number
(including area/country code):
Fax number
(including area/country code):
Registration Fee (Tax included):
Student 300 Euros
Non Student 350 Euros
I'm a(n):
engineering degree student master degree student Ph.D student professional
Payment:
Cedit card Bank Transfer Bank Cheque
Accommodation Please reserve me a room in student residence

Lodging in a 13 nights basis: Check In on Sunday July 2nd , Check Out on Saturday July 15th (meals not included). 260 € to be paid at your arrival.