Register

REGISTRATION FORM
Last Name : First Name:
Position :
Organism :
Address :
Zip code : City: Country:
Phone :	Fax:
E-mail :
Nationality :
Accompanying person (Yes or No) :
Arrival date :	(dd/mm/yyyy)
Departure date :	(dd/mm/yyyy)
*Modality of payment:* Payment by check payable to ATTNA (Association Tunisienne des Techniques Numériques et d’Automatique) Bank transfer : RIB : 10 700 039 2028 301788 82 Order Form in duplicate in order ATTNA Fiscal identification number : 000 N N 0963709 / M Bank name : Société Tunisienne de Banque, Agence Sfax Hached RIB : 10 700 039 2028 301788 82

Rates
Maghrebian university attendees	400 DT
Maghrebian student rate attendees	300 DT
Foreign University attendees	360 €
Industrial	500 DT

Note: For a single room must pay a surplus of 12DT per night