SSIR 2006: Welcome

Logo

Welcome

Registration and admission

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

Logo

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.