UHPFRC 2017
Montpellier – October 2nd to October 4th, 2017
Registration Form
TO BE FILLED AND SENT WITH PAYMENT TO THE SECRETARIAT OF AFGC, BY SEPTEMBER 20th, 2017
Mr Mrs Dr Prof.
Surname Function
First Name
Company
Address
Zip Code / City Country
Phone Fax
Billing address (if different)
Symposium Registration fees – Before June 1st , 2017 Symposium Registration fees – After June 1st, 2017
AFGC, fib, RILEM or ACI Member 500 € AFGC, fib, RILEM or ACI Member 600 €
Non-AFGC, fib, RILEM or ACI Member 550 € Non-AFGC, fib, RILEM or ACI Member 650 €
French Administration, Students 250 € French Administration, Students 300 €
Accompanying person 150 € Accompanying person 200 €
TOTAL
The registration fees for the Symposium UHPFRC 2017 include: access to all lectures, complete paper and electronic version of RILEM PRO 106 Proceedings, lunches of October 2nd, October 3rd and October 4th, coffee breaks during the conference and Banquet Dinner on October 3rd.
Payment For any cost or commission occurred through bank transfers, this will be at charge of each delegate. Important: for bank transfers, please stipulate your name and AFGC-UHPFRC 2017. Send a copy of the bank transfer with your form.
Bank transfer to AFGC Account number: BNP PARIBAS 30004 00066 00010003793 67 Swift Code: BNPAFRPPMAS IBAN: FR76 3000 4000 6600 0100 0379 367
For the registrations made with an order form, there are two stages: the participant will receive a pro-forma invoice upon receipt of the order form, then a paid invoice upon receipt of the payment Tick the appropriate boxes
I will attend lunch on October2nd, 2017 I will attend lunch on October3rd, 2017 I will attend lunch on October 4th, 2017 I will attend Banquet Dinner on October 3rd, 2017 Cancellation
Cancellation before September 20th, 2017 : 80% of the registration fees will be refunded
Cancellation after September 20th, 2017 : No refund
Pont de la République in Montpellier Lisa Ricciotti
Please fill and send with payment by September 20th, 2017 to :
AFGC Attention to: Nadget Berrahou-Daoud 15, rue de la Fontaine au Roi
F- 75127 – PARIS Cedex 11 - France
Tel : +33 1 44 58 24 70 – Fax : +33 1 44 58 24 79 e-mail : [email protected]
www.afgc.asso.fr/UHPFRC2017
UHPFRC 2017 3rd International Symposium on Ultra-High Performance
Fibre-Reinforced Concrete (UHPFRC)
Designing and Building with UHPFRC: New large-scale implementations, recent technical
advances, experience and standards
Registration Form
October 2nd to October 4th, 2017
MONTPELLIER, France