Industry registration

Industrial

Title *

Last Name *

First Name *

Company *

Occupation *

Address *

ZIP Code *

City *

Country *

Phone *

Email *

Payer (if different from delegate)

Company *

Title *

Last Name *

First Name *

Occupation *

Address *

ZIP Code *

City *

Country *

Phone *

Email *

Registration fees

With table top (1000 €)

Without table top (1300 €)

These fees include: administrative handling costs, scientific conference, participation in workshops, coffee breaks, lunches on October 1, 2 and 3 and evening dinners on October 1 and 2 2025.

Number of table tops to book

Dimensions : 1,4 x 0,7 m. 2400 € per table top.

Accommodation

The GERPAC has booked the Belambra (where the conference will be held) and offers you accommodation on the spot.

You have two options for accommodation :

Single : 1 individual room with bathroom.
Shared : 2 individual rooms with a shared bathroom for 2 people.

Please select *

No accomodation

Single (150€ / night)

Shared (70€ / night, 2 rooms)

I confirm I am not interested in the accommodation *

Please specify the name and email address of the person who will be taking the neighbouring room

Title

Last Name

First Name

Please select the nights you wish to book

Night of 01/10/2025 (150€ with breakfast)

Night of 02/10/2025 (150€ with breakfast)

Night of 01/10/2025 (70€ with breakfast)

Night of 02/10/2025 (70€ with breakfast)

Total registration

Registration fees

Accomodation

Transfers

Total

Payment

Payment *

Credit card

Check

Wire transfert

Message

I you have any further question or information, please fill here above.

Final validation

All information provided are exact *