The 15th AGILE International Conference on Geographic Information Science

AGILE 2012

Participant Registration Page

PARTICIPANT ONLINE REGISTRATION FORM

EARLY BIRD REGISTRATION DEADLINE: 31TH, MARCH, 2012

To revise a previous registration, please type your personal passcode here, and press the ENTER button.    

If you lost the personal passcode for a previous registration, please click HERE.

TYPE OF REGISTRATION

I will be a:(*)  

CONTACT INFORMATION

The fields with (*) are mandatory

Title (Dr, Prof, phD Student, Assist-Prof, Engineer, Director, Manager, etc.): 
Gender (Mr, Mrs): 
First Name (followed by Middle Initial if any): (*)
Last/Family Name: (*)
Email:  (*)
Telephone: (*)
Fax: 
Institution: (*)
Department: (*)
Street: (*)
City: (*)
Zip code: (*)
State/Country: (*)

PARTICIPATION IN WORKSHOP(S) [24th, April, 2012]

I will participate in a (few) workshop(s):(*)  

PARTICIPATION IN THE AGILE 2012 CONFERENCE [25-27, April, 2012] INCLUDING 1 GALA DINNER, 2 LUNCHES AND ALL MATERIAL

Please select the appropriate AGILE option : AGILE if your lab is a member of the AGILE association, student / not student

STUDENTS MUST PROVIDE A SCANNED COPY OF THEIR STUDENT CARD/ID and SEND IT TO michel.guerin@univ-avignon.fr AND didier.josselin@univ-avignon.fr

I will participate in the conference as:(*)  

GALA DINNER

I will come to the Gala Dinner (included in the conference fee):(*)  
Vegetarian Meal Requested  
Somebody will come with me to the gala dinner:  
Other Vegetarian Meal(s) Requested?  

FOR WORKSHOP(S) ATTENDEES ONLY

You can participate to workshop(s), but please also keep in touch with your workshop responsible(s) (=> see contacts on http://agile2012.imag.fr/index.php/workshops).

Choose your (first) workshop:  
Choose your (second) workshop:  
Choose your (third) workshop:  

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