TARK'07 Registration form

1. Personal data

Please fill in the following form. Mandatory fields are marked by *.

* Title  
* Last Name  
* First Name  
* Affiliation/Company  
* Postal Address  
* City  
* Postal code  
* Country  
Mobile Phone  
* Email  
Dietary requirements  

2. Registration Type

Registration Type Early registration Late registration
Standard 260 euros 350 euros
PhD Student 100 euros 150 euros
Early registration is only available before May 15th 2007.
PhD students must join a copy of their student card.

Please tick as appropriate.
Standard Registration
PhD Student

3. Payment method

Please tick as appropriate. Note that, for administrative reasons,
we need a written autorization for charging credit cards and thus will not ask for card numbers on this web site.
Bank transfer
Credit card