XVIIIth Rencontres de Blois

Planetary Science: challenges and discoveries

Blois, France, May 28th - June 2nd 2006

Conference Registration And Hotel Reservation Form

deadline April 15th, 2006

if you cancel a hotel reservation, please do so as soon as possible, and in any case before April 22, 2006, otherwise the hotels will retain the deposit that the conference will have paid in your place.

Please make sure that your name, the address of your institute and your email are given correctly on this form; this information will appear in the proceedings, and we must have a reliable way of conctacting you. Please enter both emails as requested on the form (current and one up to date of conference, even if identical; you will get an error message if one of them is left blank!).

Please do not register more than once. When you register electronically (see below), you should wait until the system responds with a confirmation that your form has been successfully sent. Depending on the internet traffic, this may take a few tens of seconds; after confirmation you may shut down your browser. Only if you are told that the form could not be sent should you resubmit (probably somewhat later!).

Registration

You

Mr Ms

Professional status

Family name First name

Date of birth

Professional interests

I
I plan to submit one or more contributions for a poster session
with the following titles:

I plan to submit oral contributions to a submitted papers session (maybe parallel or plenary)
with the following titles:

Your Institute

Address

Country

Your email obligatory; please enter it again in blue box below even if same !! Your phone Your fax

Your mailing address up to the conference, if different from above

Address

Country

Your email up to the conference: obligatory even if same as above Your phone Your fax

Vegetarian meals required

 yes no

Hotel Reservation

If you do not require a hotel reservation, click here=>
If accompanied click here ===>  
If not accompanied click here ===>  
If accompanied, please give the following details, otherwise pass on to next section

I will be accompanied by persons

named

and I wish to reserve

single room/s double room/s

in a one star two star three star hotel

If not accompanied, please give the following details:

I wish to reserve in a one star two star three star hotel

 
I would like a single room

 

or

  I accept to share a double room

with a non-smoker or

with a smoker (click whichever is appropriate)

  

Approximate price range per night (breakfast is included; all rooms have a shower or a bath)

1 star hotel 2 star hotel 3 star hotel (hotel Mercure)
Single rooms only available:

38 euros

Single room:

44 to 55 euros

 Single room:

104 euro

Shared double room:

24 euros per person

 Shared double room:

24 to 35 euros per person

 Shared double room:

66.5 euros per person

     

I will arrive on at approximately
I will leave on at approximately

  by train by car by air  

Please do not wait until the last minute to reserve accommodation; at this time of the year, Blois can be very crowded!

If for some reason on line registration does not work in your case, you may print and fill in this form manually, and send it to:

Ms Elizabeth HAUTEFEUILLE

Rencontres de Blois
BP 33, F-91192 Gif sur Yvette
France
Tel : 33 (0)1 69290550
Fax : 33 (0)1 69288659
email: Elizabeth.Hautefeuille@th.u-psud.fr

Send this form electronically by pressing this button:

Please wait for electronic confirmation before leaving your browser. This may take a few tens of seconds if internet traffic is heavy. Do not resubmit unless you are informed that the form could not be sent. Thank you.