Please type or write clearly in block letters and check boxes where appropriate and fax, post or email to:

Please provide information as you wish it to appear on your badge and in the list of participants (1).
"If these informations (First Name . Name . Company and Country) are not correct for establish the badge, please send an email."

( * ) Required field

Participant Information (1) ( use only alphabetic letters )

Title *: MrMrsProfDr

First Name *: Name *:

Nationality *: Company/University *:

Position *:

Research Department :

Address *:

Postal Code : City/State *:

Country *: E-mail *:

Phone (incl. country & city codes) : Fax (incl. country & city codes) :

Mobile :

Billing Address

Same as above

Company/University *:

Address *:

Postal Code *: City/State *:

Country *: E-mail :

Phone (incl. country & city codes) : Fax (incl. country & city codes) :

Registration fees ( VAT included )

Before 1st July, 2018 After 1st July, 2018
Academic / Industrial registration500 Euros600 Euros
PhD students registration250 Euros300 Euros
Accompagnying person100 Euros100 Euros
Accompagnying persons fees include the welcome reception, gala dinner & visit

Tick category and fill in the amount to be paid.

Academic / Industrial registration
PhD students registration

Accompagnying person

Registration fee includes : the welcome reception, coffee breaks, gala dinner, proceedings & visit
Attendance to the meals :

17th September welcome reception
Compiegne City hall welcoming
lunch 17th September
lunch 18th September
lunch 19th September
lunch 20th September
lunch 21th September
Gala dinner 20th September

Other :

Due : Euros

Payment options

Payment must be made in advance and are payable to: UTEAM.
Please make sure that you indicate "BELIEF 2018" and the participant's name on all payments.
Payment should be made in Euros.
Purchase order (for French institutions)

Credit card (Only Eurocard, MasterCard, Visa will be accepted. On-line registration is now opened)

Bank transfer
  Payable in Euros to the following account:
  Bank : Crédit du Nord Compiègne Entreprise
  Code bank : 30076
  Code counter : 02626
  Account Number : 10337100201
  Key : 47
  IBAN : FR7630076026261033710020147
  SIRET : 34230024100029


For any cancellation, contact as soon as possible UTEAM by e-mail or letter.
Received registrations fees will not be refunded, unless the participant does not have to present a paper and cannot come due to unforeseen reasons (visa not granted,...).
It is impossible to cancel a registration if your paper is accepted by the comittee

This information is intended for the organizers UTeam or BELIEF 2018 in the purpose of setting down the list of the participants.
You may oppose to the publication of your email address in the list of participants by ticking here
You have a right of access and modification by applying to UTeam until 09/14/2018.