Registration on line

A - To follow up your registration, please provide all information:
Administrative Correspondent :
  Name *
  First Name*
  Email *
 

Email

  Country


Intends to attend the conference "Health and Regionalization" in Ajaccio (october 2002, 10&11)

B   You pay the participants fees B1 or your firm, institution pay the participant fees B2

B1 Individual Registration
              (You pay, A receipt will be provided upon request).

Student, non-speaker: 220 Euros
     (presentation of a student card)

Speaker : 420 Euros
Participant : 720 Euros

You are a member of AEA for 2002 (reduction of 110 Euros)
Your N°

Your payment is received before 09/09/02 (reduction of 110 euros)

B2 Professional Registration
              (An invoice will be provided upon request, an order form is allowed)

Speaker : 640 Euros                           Number of speakers:
      Other(s) co-author(s) : 200 Euros  per person  
Participant     : 940 Euros                 Nombre total de personnes :
      Other(s) participant(s) : 500 Euros per person

You are a member of AEA for 2002 (reduction of 440 Euros)
Your

Name of the participants
Does the administrative correspondant attend the conference ? Yes No

Liste des autres participants

Name * First Name * E-mail*

 

C Payment :

Payment can be made by :

Bank transfert (from French resident bank) (no bank charges)
Bank Transfert (from non-French resident bank) ( 20 Euros for bank charges)
Visa credit card (only Visa card is allowed)
Cheque payable to French resident bank (no bank charges)
Cheque in euros payable to non-French resident bank (20 Euros for bank charges)
Payment on arrival (reduction of 110 Euros

For further method of payment, please contact Céline Baujard at FédEco- AEA - Phone + 33 1 42 21 11 72 cbaujard@fed-eco.org