Institutional Registration form

First name

Last name

Your Email

Your phone number

Your institution

Institution:

Function:

Department:

Address:

Country:

City:

Discipline

Areas of interest

I would like to be listed on the GEM&L site

YesNo

Your payment

Payment by check to the GEM&L or by bank transfer

Please send your check to Philippe Lecomte, GEM&L, 30 avenue des Minimes, 31200 Toulouse

A receipt will be provided upon request.

Payment by credit card

An invoice will be automatically delivered

I will pay by:
Bank transferCredit CardCheck to GEM&L

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