Registration form

Please complete and return before July 15th, 2008

mail to :    abdelhamid.kerkeni@fmm.rnu.tn

Fax : (216)73460737

For foreign Participants:

Registration Fees (in Euros, excluding Accommodation) :

	Before July 15, 2008	After July 15, 2008
Participants	350 €	400 €
SFERETE & FESTEM members	300 €	350 €
Students and North African Participants.	250 €	300 €
Accompanying person	150 €	200 €

Registration fees include : welcome reception, access to lectures, abstract book, 8 refreshment breaks, 4 lunches ( during of the days of Meeting) and a banquet dinner

For Tunisian Participants :

Students 150DT, Researchers 200DT

Registration fees include : welcome reception, access to lectures, abstract book and refreshment breaks only.

Payment method :

By bank transfer to :

Beneficiary : Association Tunisienne d’Etude et de Recherche sur les Eléments Trace (ATERET) 

Bank Name : Banque de Tunisie ,

Bank Address : Place de L'indépendance 5019 Monastir (Tunisie)

Bank Code : 05

Agency Code : 502

Account number : 0000175461744 Key : 63 

IBAN : TN 59 0550 2000 0175 4617 4463

Code SWIFT : BTBKTNTT

The sending bank fees are at your charge.

Please send a copy of your bank transfer.

The name of the participant must be clearly indicated on the bank payment .

Registration

Family name :

First name :

Title :

Institution :

Address :

City :

Zip Code :

Country :

Phone :

Fax :

E-mail :

Number of accompanying persons :

Total Fees (in euros)   : 

Payment date and your bank name :