Please mail back to Mrs Marlyse TARIC or fax to (+41 21) 693 37 05 before July 1st, 1997. |
First Name............................. Last Name............................... Organization.................................................................... Street......................................................... Number.......... Country...................... Postcode........... City.......................... Phone................... Fax..................... Email.........................
SI/SISR and/or AFCET member. |
Fees | SI/SISR/AFCET members | Others |
Scholars | SFr. 150.-- | SFr. 200.-- |
Industry | SFr. 225.-- | SFr. 275.-- |
Payment in Swiss Francs only through bank or postal transfer to:
SBS EPFL-UNI
P.O. Box
CH-1015 Lausanne (Switzerland)
CCP 10-3-5
in favour of:
Ecole d'?t?
Account number F4-707,436
Date.............................. Signature....................................