Registration form
Personal information
*
First name
Surname
Date and place of birth
*
Date
Place
Affiliation
*
Your affiliation
Country of your affiliation
Contact information
*
E-mail address
Phone number
Do you have any allergies, intolerances or special dietary requirements?
Please indicate your food allergies or intolerance, or any other special requirements.
Are you going to present a paper?
Yes
No
Please indicate the identification code of the paper/papers presented (max 2)
About the social events
Will you join in the social dinner on April, 10th?
*
Yes
No
Will you join in social event (guided tour of the Turin downtown + lunch) on April, 12th?
*
Yes
No
Registration
Types of Registration
*
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( X )
IEEE/EuMA Member
€290.00
€
290.00
IEEE/EuMA Student Member
€160.00
€
160.00
Non-IEEE Member
€430.00
€
430.00
Student Non-IEEE Member
€240.00
€
240.00
Extra tickets for social dinner
€125.00
€
125.00
Quantity
1
2
3
Saturday’s Social Event
€65.00
€
65.00
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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