Registration form

Centre National de la Recherche Scientifique

Institut d'Études Scientifiques de Cargèse

ACOUSTICAL IMAGING OF COMPLEX MEDIA: APPLICATIONS IN MEDICINE, SEISMOLOGY AND OCEANOGRAPHY

   October 15th - October 20th, 2007

Cargèse, France

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REGISTRATION FORM

TO BE SENT (preferably by email) before September 15th, 2007

--------------------------------------GENERAL----------------------------------------
- Title :

- Last name:

- First name :

- Phone Number:

- Valid EMail:

- Address 1 :

- Address 2:

- Address 3:

- Postal code:

- City:

- State :

- Country :

- Institution (full address):

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- Status :

- Research interests, relevant publications :

- Recommended by (for students) :

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Poster sessions will be organized. Do you wish to present work related to the general theme ? Tentative Title :

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By regular mail :
Vera da Costa
LOA - ESPCI, 10 rue Vauquelin - PARIS 75231 Cedex 05

By email at Cargese emailand on the generated page, please fill the form as follow:

 

 

 

 

 

 

 

 

 

 

 

By fax : 33 (1) 40 79 44 68