on Bulk Carbon Materials
Dresden (Germany), July 10-11, 2015 /
Please send this form to or by fax to (+33)5 5684 1225 before March 31st, 2015.
Registration form & invoice for the Carbon 2015 Satellite Workshop:
Multi-scale structure & properties of
Bulk Carbon Materials:
Structure determination, physical & chemical properties characterization, modelling, from nm to m
University of Technology – Dresden, Germany– July 10-11, 2015
Title (Dr, Pr …) & Name:Institution
Address :
Phone:
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I wish to propose a communication: / Oral communication
Poster
(communication proposal form on next pages)
Registration fee: 20 €
Payment by bank transfer only
Please do not forget to mention «PYROMAN» in the payment order
Bank account holder: ASS GFEC
Bank name: CAISSE D’EPARGNE LORRAINE CHAMPAGNE ARDENNES
SWIFT: CEPAFRPP513
IBAN: FR76 1513 5005 0008 0013 4044 447
Bank data(French payments):
Etablissement : 15135 - Guichet : 00500
N° compte : 08001340444 - Clé : 47
Domiciliation: CE LORRAINE CHAMPAGNE-ARDENNE BP23954506 VANDOEUVRE
BIC: CEPAFRPP513
(French only)
N° SIRET Association GFEC :329 714 216 00010
COMMUNICATION PROPOSAL
Title:Author(s) & affiliation(s):
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A. B. Author1,2, Y. Z. Coauthor3 (please underline the presenting author)
1Affiliation , City, Country
2Other affiliation, City, Country
3Other affiliation, City, Country
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We report results [1] as seen in fig. 1.
Fig. 1: Caption
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[1] Author A.B., Wotsizname T., Title, Journal, vol, pages (year)
[2]Anyguy T., Title, Journal, vol, pages (year)