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Please copy/paste the form below and send it before Sep 23th by mail to:

manchon[at]math[dot]univ-bpclermont[dot]fr

or

frederic.fauvet[at]gmail[dot]com

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NAME :

FIRST NAME:

Institution:

Position (Prof./Ass. Prof./Post Doc/PhD/others)

Personal address:

Email address:

Arrival date:

Departure date:

• Accomodation.

Do you want the organising committee to book a hotel room in Strasbourg for you, and if so

from:

to:

number of nights: