Registration

Modelling of Flow and Transport in a Porous Medium

Registration Form

Warning: this form is beeing submited by mail. Your adress will be revelated to the receiver.

Surname:

Name:

Organization:

Adress:

Telephone:

Fax:

Mail:

Payment: I enclose:

a check payable to 'EST-FES'

an order from the paying organization

a receipt of bank transfer

Tresorerie Regionale de Fes, compte hors budget numero 42116.

Accommodation: I prefer to be lodged at:

the university hostel Al Akhawayine

a holiday centre in the town of Ifrane