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									               European School on Magnetism 2009 – Registration form
                                        September 1st –10th 2009, Timisoara (Romania)
Filling-in this form requires that macros are enabled. To do this open menu Tools\ Macros\ Security… and select
an option allowing macros to run. Then (re-)open the registration form.

PERSONAL DETAILS
Family name:                                            First name:
Gender:             Male        Female                  Age :
Lab. or Univ. or Company:
Nationality :
Full address including street name, ZIP, town and country (multi-line editing allowed):

Phone:                                                         Fax :
E-Mail:

    Student                        PhD student              Post-doc                     Senior
Research topic (very short):
In case you are a student, PhD or post-doc, please supply the name and Email of your scientist advisor:
Name:                                          Email:
PARTICIPATION IN TUTORIALS
If possible I would like to attend the following practicals and tutorials:
    Electronic structure calculations                      Strongly-correlated systems
    Monte-Carlo techniques                                 Micromagnetic simulations
     Note :  Not all wishes may be granted because of either limited attendance constraints, or overlap of several
                    practicals in the timetable. .

POSTER CONTRIBUTION
Besides the lectures given by senior lecturers, poster sessions will be organized to allow the attendees to
present their research work. Would like to present and poster, and with what title:
    Yes                            No
Title :
      Note :        Not all wishes may be granted because of either limited attendance constraints, or overlap of several
                    practicals in the timetable. .

ACCOMMODATION
MEALS
Special food requirements:
ROOM
Accommodation is provided on the basis of double-occupancy room.
I would like to share my room with:

PAYMENT
REGISTRATION FEES
    Reduced fees: 360€ (registration at the latest May 31th, along with payment before June 30th)
    Regular fees: 400€ (registration starting June 1st, or for early registrants paying after June 30th)
    Other cases (lecturers etc.)
      Note :        The registration fees include accommodation, meals and breaks during the entire school duration.
MEANS OF PAYMENT
  Direct bank transfer                                  Check (France only)
  Order from your lab, billing from ESM, followed by payment from your lab.
Send this form back via Email as a Word file (other file formats or Fax of printed form are accepted in case you
face technical problems with the form): esm@grenoble.cnrs.fr. Fax: +33 (0)4 76 88 10 01

								
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