Registration form
Personal information
*
First name
Surname
Date and place of birth - mandatory by the Italian Law for the emission of the receipt
*
Date
Place
Affiliation
*
Your afiliiation
Country of your affiliation
Contact information
*
E-mail address
Phone number
Types of Registration
*
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next
( X )
Full Registration (3 days)
€
460.00
Student Registration (3 days)
A certificate or a student card will be required
€
330.00
One day registration
€
250.00
Extra tickets for social event
€
30.00
Quantity
1
2
3
Extra ticket for social dinner
€
80.00
Quantity
1
2
3
4
5
6
7
8
9
10
ID Paper/Tutorial (if applicable)
Please remind that a full registration is required for each presented paper/tutorial.
Please indicate which days you will attend the conference
9th September
10th September
11th September
Do you have any allergies, intolerances or special dietary requirements?
Please indicate your food allergies or intolerance, or any other special requirements.
Would you join in the social event?
*
Yes
No
Will you join in the social dinner?
*
Yes
No
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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