Registration Form

7th Maghrebian Colloquium of Applied Geophysics (CMGA7) Algiers, 20 22 February 2018

Please complete and return in Word format before 31 October 2017

To cmga7.sg@gmail.com

Tel / fax: +213 23 18 91 01

Last name: _____________________________________ Forename: ________________________________________

Affiliation: _____________________________________ Position: _________________________________________

Topic: __________________________________________________________________________________________

Address: ________________________________________________________________________________________

E-mail : ____________________________________________________ Phone : ______________________________

Registration Fees * Registration Fees *

Category for Nationals for Maghrebians
and Foreigners
Participant with presentation
Early bird registration 15 000 DA 150
Standard registration 20 000 DA 200
Participant without presentation
Early bird registration 20 000 DA 200
Standard registration 25 000 DA 250
Student
Early bird registration 5 000 DA 50
Standard registration 8 000 DA 80
STANDS for exhibition Contact the secretariat at Contact the secretariat
cmga7.sg@gmail.com at cmga7.sg@gmail.com
* Include access to sessions, lunch and coffee breaks.
- Hosting formulas will be given subsequently.
- Early bird registration: before the 18th January.

Method of payment

Total amount due: ....................... (/DZD)

By cheque to the order of CRAAG

Joined by the registration form

By bank transfer, denominating the name of the

Participation modalities
event and the name of the participant
Account: CRAAG The form must be filled by the participant
Bank: BNA Registration fees could be refunded only if a notice of
Address: BNA, 08 Bd Che Guevara 16000 Alger cancellation is received by the secretariat
IBAN: 00100599030035186335 (cmga7.sg@gmail.com) before 15th January 2018.
SWIFT: BNAL DZAL XXX.
Cash on site during the CMGA7 opening day.

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