REGISTRATION FORM
All registration forms payments must be received by May 21, 1999
Cost includes :
  1. registration fee
  2. proceedings of the conference
  3. lunch for 5 days
  4. coffee breaks
  5. wine tasting
  6. social dinner
(The fields from "Surname" to "E-Mail" must be filled)
 
Title 
Surname (Family Name )
First Name 
Institution/Laboratory
Address
Postal Code
City
Country
Phone 
Fax 
E-Mail 


PAYMENT OF REGISTRATION FEE (until May 21: 2750FF - after May 21: 3300FF)
1 -Bank cheque in FF or EURO to the order of: "Trésorerie de Saclay"
2 -Bank transfer (enclosed an official copy of the bank transfer) in FF or EURO ordered to:
CEA/ Trésorerie de Saclay/Beaune99
Account n° 00021100040 - clé: 68 - Bank Code: 30004 - Guichet Code: 00086

Banque Nationale de Paris
3-5 place de la République
F-91400 ORSAY

3 -By credit card: only VISA, Eurocards and MasterCard's will be accepted. You must send this registration form with the signature by normal mail.

Payment by : (please click to select)


Date of arrival 
(please click to select)
Time of arrival :  
(in HH:MM format please)
Date of departure  
(please click to select)
Time of departure :  
(in HH:MM format please)
By  
(please click to select)
Number of accompanying person(s) :  

To allow for efficient organisation, please indicate which of the following topics you are interest in :
(if not already done in the Pre-Registration)
 
 
Photodetection in :  
 
Visible  Yes  No   Photomultipliers Yes  No
Yes  No  by Solid state devices Yes  No
Gamma  Yes  No             Hybrid photodetectors Yes  No
    Associated electronics Yes  No
 
                 in : 
 
Particle Physics Yes  No Biology Yes  No
Nuclear Physics Yes  No Medicine Yes  No
Astrophysics Yes  No   Other Yes  No


 
 
  To register on-line, please click here. 
  For a new form, please click here. 

You will receive an e-mail confirmation after your registration.