International Conference on Transparent Optical
Networks – Mediterranean Winter 2008
Conference Registration Form
Family name: First name:
City: Zip Code: Country:
Phone: Fax: E-mail:
Accompanying person name:
REGISTRATION DATE Including without Amount
Accommodation for 3 nights accommodation EUR*
Invited attendee 320 EUR* 200 EUR*
Regular attendee 370 EUR* 250 EUR*
Students** 200 EUR* 100 EUR*
(*) Home regular attendees and students may pay with Moroccan Dirham (MAD).
(**) Students must include a statement from their department head affirming their status of full-time or part-time students.
Accompanying person (social events) 50 EUR*
Social Programme (Please tick as appropriate):
I would like to attend the Guided tour in Marrakesh on Wednesday afternoon, December 10 , 2008.
I would like to attend the Welcome Reception on Thursday evening, December 11 , 2008.
I would like to attend the Conference Gala Dinner at Conference Hotel on Friday evening, December 12 , 2008.
I would like to attend the Conference Debate and Farewell Party at Conference Hotel on Saturday, December, 13 , 2008.
Registration fee includes admission to technical session, CD proceedings, social events and lunches or diners.
Please note that the Gala Diner costs extra (40 EUR).
REGISTRATION Total (EUR)
I am sending the payment by:
Bank transfer, payable to: Moroccan society for spectroscopy and optics
Address: Bank BMCE RABAT IBN SINA AGDAL - Morocco
Account No: 011 810 0000 10 200 7599 72
IBAN: BMCE MAMC Swift code: BMCE MAMC
Please fill in and fax or mail as soon as possible to:
Secretariat of 2 ICTON – MW’08, Mr Robert Czaplicki
University of Angers, UFR Sciences, Laboratory POMA, 2, Bd. Lavoisier, 49045 ANGERS CEDEX 01, FRANCE
Tel: (+33) 241 735 423, Fax: (+33) 241 735 216, E-mail: email@example.com