REGISTRATION FORM CHANNELOPATHY 2016





Identity

Address

Registration Fees

NB : Conference registration implies that you approve all the terms you read below.
Due to the limitation of the auditorium, only the first 180 registrations will be accepted.

Includes the access to the conference rooms and to the other events of the meeting, lunches and coffee breaks for 3 days


Gala dinner

The gala dinner will take place on the Bateau Mouche "Le Zouave"

The following participation includes a cruise and the dinner.

Only the first 100 gala registrations will be processed.