Customer information

Company's name:

Email address:

Phone number:

Full billing/invoice address:

VAT number:

SIRET 14-digit number:

I accept legal terms and privacy policy.

Event details

Event title:

Event dates

From

to

OR: Event period (if you do not have a fixed date, please specify the number of days in the following section):

Does the request include the operating room option?

No

Yes

Number of persons:

Comments:

Event schedule

Number of days :

1

2

3

4

5

6

Timetable:

Day 1 | Start time:

End time:

Day 2 | Start time:

End time:

Day 3 | Start time:

End time:

Day 4 | Start time:

End time:

Day 5 | Start time:

End time:

Day 6 | Start time:

End time:

No events after 11 pm
No events on public holidays or Sundays

Comments:

Room selection

Click here for a description of our room facilities

Rooms:

Auditorium 110 seats

Auditorium 133 seats

Auditorium 237 seats

Meeting rooms

Please specify your needs for meeting rooms:

Audiovisual studio

Comments regarding audiovisual studio:

Biocluster

Comments regarding biocluster:

Meeting room capacity:

Number of persons (room #1) :

Number of persons (room #2) :

Number of persons (room #3) :

Number of persons (room #4) :

Number of persons (room #5) :

Horaires de l'amphithéâtre 110 places :

Day 1 | Start time:

End time:

No meeting room

Day 2 | Start time:

End time:

No meeting room

Day 3 | Start time:

End time:

No meeting room

Day 4 | Start time:

End time:

No meeting room

Day 5 | Start time:

End time:

No meeting room

Day 6 | Start time:

End time:

No meeting room

Horaires de l'amphithéâtre 133 places :

Day 1 | Start time:

End time:

No meeting room

Day 2 | Start time:

End time:

No meeting room

Day 3 | Start time:

End time:

No meeting room

Day 4 | Start time:

End time:

No meeting room

Day 5 | Start time:

End time:

No meeting room

Day 6 | Start time:

End time:

No meeting room

Horaires de l'amphithéâtre 237 places :

Day 1 | Start time:

End time:

No meeting room

Day 2 | Start time:

End time:

No meeting room

Day 3 | Start time:

End time:

No meeting room

Day 4 | Start time:

End time:

No meeting room

Day 5 | Start time:

End time:

No meeting room

Day 6 | Start time:

End time:

No meeting room

Meeting room timetable:

Day 1 | Start time:

End time:

No meeting room

Day 2 | Start time:

End time:

No meeting room

Day 3 | Start time:

End time:

No meeting room

Day 4 | Start time:

End time:

No meeting room

Day 5 | Start time:

End time:

No meeting room

Day 6 | Start time:

End time:

No meeting room

Horaires du biocluster :

Day 1 | Start time:

End time:

No meeting room

Day 2 | Start time:

End time:

No meeting room

Day 3 | Start time:

End time:

No meeting room

Day 4 | Start time:

End time:

No meeting room

Day 5 | Start time:

End time:

No meeting room

Day 6 | Start time:

End time:

No meeting room

Horaires du biocluster :

Day 1 | Start time:

End time:

No meeting room

Day 2 | Start time:

End time:

No meeting room

Day 3 | Start time:

End time:

No meeting room

Day 4 | Start time:

End time:

No meeting room

Day 5 | Start time:

End time:

No meeting room

Day 6 | Start time:

End time:

No meeting room

Equipment and services

Audiovisual services (video recording, photographer, etc.):

No

Yes

We will contact you to determine your needs.

If necessary, please specify other services

Coffee breaks

Morning timetable:

Day 1 | Start time:

Day 2 | Start time:

Day 3 | Start time:

Day 4 | Start time:

Day 5 | Start time:

Day 6 | Start time:

Afternoon timetable:

Day 1 | Start time:

Day 2 | Start time:

Day 3 | Start time:

Day 4 | Start time:

Day 5 | Start time:

Day 6 | Start time:

Comments:

Catering

Catering type

No food catering service

Seated lunches (starter, main course, dessert)

Cocktail lunches

Cocktail dinners

Other (please specify)

Number of persons attending sit-down lunches (starter, main course, dessert):

Day 1:

Day 2:

Day 3 :

Day 4 :

Day 5 :

Day 6 :

Number of people attending cocktail lunches:

Day 1:

Day 2:

Day 3 :

Day 4 :

Day 5 :

Day 6 :

Number of persons attending cocktail dinners:

Day 1:

Day 2:

Day 3 :

Day 4 :

Day 5 :

Day 6 :

Comments:

Additional information

Do you have an agenda, schedule or program to send us (jpg, jpeg, png, pdf files)?

Upload your file(s) here

Files submitted:

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A confirmation email has been sent to you.

If you have any further queries,
or if you wish to report anything else, please contact event@ircad.fr.

IRCAD France