Journées SL2R
Institut Élie Cartan de Lorraine (IECL)
Université de Lorraine - Metz
March 21-22, 2019

REGISTRATION FORM

Please fill the following form and send it to Mrs. Claude Coppin:

claude.coppin@univ-lorraine.fr

with a cc to Angela Pasquale (angela.pasquale@univ-lorraine.fr), at your earliest convenience before March 14, 2019.

LAST NAME:
FIRST NAME:
ADDRESS OR INSTITUTION:
EMAIL :

Please erase as appropriate:

- PARTICIPATION TO THE DINNER ON THURSDAY EVENING: YES - NO

DINNER FEES:
Participants holding a position (professors, researchers, lecturers, postdocs...): 15-20 euros
Graduate students: 10-15 euros

- PARTICIPATION TO THE LUNCH ON FRIDAY (meal-trays) : YES - NO

If yes, please indicate your choice of meal tray in the following list::


The composition of the meal trays is available here.
The choice must be made before the evening of March 14.
If no choice is made, the "standard" menu will be: Le Plateau du marché

LUNCH FEES:
Participants holding a position (professors, researchers, lecturers, postdocs...): 15 euros
Graduate students: 5-10 euros

Dietary restrictions:

HOTEL RESERVATION: YES - NO

Hotel :
Arrival date:
Number of nights:
Number of people:
Nombre of rooms:
Please specify the wished room type:
  Single room
  Double room
  Twin room

Additional information: