Registration form please use block capitals prof Dr. Mr Mrs Ms Miss



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Réf MOD-SAR-025  Indice 002 Libellé Registration form
PRE-REGISTRATION FORM



PLEASE USE BLOCK CAPITALS


  • Prof - Dr. – Mr - 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

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