THERMINIC 1995 - Workshop Registration Form
Workshop registration : 700 FF
Please use BLOCK CAPITALS
Last Name :
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First Name :
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Organisation :
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Address :
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Country :
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Telephone No :
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Fax No :
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Email :
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Notes :
- Both registrations and payments are mandatory
(Hotel + Workshop registration).
- On site registrations will be handled if and only if the hotel accepts and if Workshop registration is paid cash (only).
To be returned to :
THERMINIC Workshop
TIMA
46, avenue Félix Viallet
38031 GRENOBLE cedex
FRANCE
Phone : +33 76 57 46 15
Fax : +33 76 47 38 14
With payment to :
Madame l'Agent Comptable Secondaire du CNRS,
Délégation Régionale Rhône-Alpes, secteur Alpes-CNRS,
25, avenue des Martyrs, bp 166, 38000 GRENOBLE, FRANCE,
by cheque or bank transfer to the following account number :
Bank :
TRESOR PUBLIC Grenoble 10071-38000-00003000056-07,
mentioning THERMINIC95-910706