Registration for the workshops on equine diseases

Please fill out the form before July 15, 2018

Member state *

Name of your institute *

Name, of your financial contact *

Email, of your financial contact *

Telephone number, of your financial contact *

Gendre *

First name *

Last name *

Function in the laboratory *

Email *

Phone *

Participation to the workshop on EIA (Wednesday 12th september 2018) *

Condition of attendance

Will you join us for lunch on September 12, 2018 ? *

Will you attend convivial dinner on September 12, 2018 ? *

Partiticipation to the workshop on Dourine (Thursday 13th september 2018) *

Condition of attendance

Will you join us for lunch on September 13th, 2018 ? *

Comments

Any particular food requirements ?

Activation key *