Registration Form

Electrophysiology Workshop

April 24^th – 28^th 2017

You will find below the list of documents to be returned completed and signed to the following address:

E-PHY-SCIENCE C/0 IPMC
660 Route des Lucioles
06560 Sophia-Antipolis
France

• Workshop Agreement
• CV or presentation letter (mentioning your current position in order to adapt your needs).
• Timesheets will be delivered at the end of the workshop.

Registration details

Participants are selected after complete submission by mail or e-mail.
Registration is effective after payment reception.

Deadline

Registrations close Friday, March 24^th 2017.