Registration form
Personal information
*
First name
Surname
Date and place of birth
*
Date
Place
Affiliation
*
Country of your affiliation
*
Email
*
example@example.com
Phone number
-
Prefix
Phone number
Do you have any allergies, intolerances or special dietary requirements?
Please indicate your food allergies or intolerance, or any other special requirements.
Types of Registration (within March 2025, 31st - vat included)
*
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( X )
ASPA Member - whole congress
€
430.00
ASPA Member - one day congress
€
305.00
ASPA Non-member - whole congress
€
490.00
ASPA Non-Member - one day congress
€
365.00
Young scientist (under 35) - whole congress
€
305.00
Young scientist (under 35) - one day congress
€
185.00
Social Dinner
€
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
If you chose "one day congress", please indicate the day
Tuesday June, 17th
Wednesday June, 18th
Thursday June, 19th
Friday June, 20th
How do you prefer paying?
*
Bank transfer (the Secretariat will send you via e-mail the bank details)
Credit card online (the Secretariat will send you via e-mail the link to proceed)
Invoice information
*
Invoice must be entitled to
Address
Town and country
Postal code
Fiscal code or VAT number (if not applicable, please digit 000)
Send
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