30th International Symposium on
Money, Banking and Finance

Poitiers, 27 - 28 june 2013		

Registration Form
(Please fill in capitals)

Name		First Name		
Organization 		Position		
Address

Post code		City		Country		
Telephone		
E-mail		

Registration Fees

  	until May 31, 2013	after May 31, 2013	
Participant presenting a paper	  	  	
PhD Student			
•	Symposium only	40 €    	80 €    	
•	Symposium + gala dinner	60 €    	100 €    	
Other			
•	Symposium only	80 €    	120 €    	
•	Symposium + gala dinner	100 €    	150 €    	
Participant not presenting a paper	  	  	
•	Symposium only	100 €    	140 €    	
•	Symposium + gala dinner	150 €    	200 €    	

-	The registration fees for symposium only include entrance to all sessions of the conference, refreshments and lunch on both days (one-day registration is not available).
-	The number of places for the gala dinner is limited.
-	Registration fees are non-refundable after June 15, 2013.

Please advise if you have any dietary requirements for lunches and gala dinner (e.g. vegetarian, allergies etc.)

Methods of Payment

  	By non-endorsable cheque in euros on a French bank payable to « Agent comptable de l’Université de Poitiers »
•	Join the cheque with your registration form

  	By Bank transfer to the University of Poitiers (see bank account details below)

	ONLY FOR FRENCH INSTITUTIONS - By an order form issued by your university or institute
•	Remind the name(s) of the participant(s) on the order form

Bank Account Details

Trésor Public	DRFIP Poitou-Char.et Vienne
11 rue Riffault BP549
86020 Poitiers cedex

Université de Poitiers
Agent comptable
15 rue de l Hotel Dieu
86034 poitiers cedex	
Titulaire du compte 
Université de Poitiers		
Domiciliation     TPPOITIERS		
Code banque
10071	Code guichet
86000	N° de compte
00001002787	Clé RIB
58		
IBAN : FR76 1007 1860 0000 0010 0278 758
BIC : TRPUFRP1		

Registration Form and Payment should be returned to :

Fabienne PALOMARES 
CRIEF - Faculté de sciences économiques 
2 rue Jean Carbonnier
BP 623
86022 Poitiers 
France

Contacts

Fabienne PALOMARES :	tél. : +33(0)5 49 45 31 71
						e-mail : fabienne.palomares@univ-poitiers.fr

Programme and other informations on the symposium website
http://gdre2013.conference.univ-poitiers.fr