MERIE group of the RMEI : Mediteranean Green Energy NetWork

Mediterranean Green Energy Forum (MGEF 2015)

Conference Registration Form .

Title (circle one): Dr. / Prof. / Mr. / Ms.

Last Name:_________________________ First Name:_____________________________________________

Name for Badge:_____________________ Number of accompanying persons: ___________________________

Affiliation:_________________________________________________________________________________

Department: _______________________________________________________________________________

Address:__________________________________________________________________________________

City: _____________________ ZIP/Postal Code: _____________ Country: ______________________________

Phone: ___________________ Fax: _____________________Email:___________________________________

Expected Arrival Date to Marrakech:  …./…/ 2015          Expected Departure Date from Marrakech:     …./…/2015           

Conference registration (circle the relevant amount)         

REGISTRATION	Price in:   Euro (€)		Quantity	Sub Total
	Early Registration before February 25th 2015	Late and on-site Registration after February 25th 2015)
Full conference fee*	400€	450€	_____	_____
Reduced conf. fee for Students**	300€	350€	_____	_____
Industrial registration*	500€	550€	_____	_____
Local participant registration*	220€	250€	_____	_____
Local student registration*	180€	200€	_____	_____
Additional Conf. Proceedings CD-ROM	50€  per CD-ROM	50€ per CD-ROM	_____	_____
Accompanying person fee***	220€	270	_____	_____
Extra-ticket for the banquet dinner	50€	50€	_____	_____
	Total Cost in Euro (€)			_____

*The full-registration fee and the Industrial registration fee include CD-ROM conference Proceedings, coffee breaks, lunch, welcome reception, closing,  and banquet ticket

**The student registration fee includes CD-ROM conference Proceedings, lunch, and coffee breaks Students must provide concurrently with the Registration Form an official university letter confirming their status as full time students and the degree program they are enrolled in.

***The Accompanying person fee includes lunch, and  coffee breaks,

The payment must be made by invoices or by bank transfer.

Bank transfer information:

________________________________________

Name of Account:  RMEI

RIB/RIP  11306  00094  21541213000   43

IBAN: FR76  1130  6000  9421  5412  1300  043

BIC: AGRIFRPP813

NOTE:  You must include the following information on your bank transfer documents:

-        MGEF2015 -        Name of the corresponding Author

-        Paper Ref Number

Signature:  _____________________________________________

Finance Chair of 2015 Mediterranean Green Energy Forum 2015  email : mgef2015@rmei.info