Mrs Miss Mr
	Name :
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	Area Code :
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Tuesday June 27
I wish to visit the exhibition
I would to attend the morning plenary session :
I would to attend the afternoon session :

Wednesday June 28
I wish to visit the exhibition
I would to particip to the workshop 1:
I would to particip to the workshop 2:
I would to particip to the workshop 3 :
I would to particip to the workshop 4:
I would to particip to the workshop 5:
I would to particip to the workshop 6:
I would to particip to the Scilab annual Users Day : ScilabTec'12

Information that you provide us on this form, in conformity with the IT and freedom law of 1978, is necessary for Teratec can treat your registration with this Forum and to address information concerning its events to you.
You can at any time to reach this information, to ask for correction or to exert your right of opposition of it.

With this intention, you address to Teratec, Bard1- Domaine of Main street - 91680 BRUYERES-LE-CHATEL, or with : jean-pascal.jegu@teratec.fr