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
*
prev
next
( X )
Full Registration (includes tickets for the Social and Dinner events)
€420.00
€
420.00
Quantity
1
2
3
Additional tickets for social event
€30.00
€
30.00
Quantity
1
2
3
Additional tickets for social dinner
€60.00
€
60.00
Quantity
1
2
3
4
5
6
7
8
9
10
If you are registering as the presenting author of an accepted paper, please indicate its title or Easychair paper ID:
Do you have any allergies, intolerances or special dietary requirements?
Please indicate your food allergies or intolerance, or any other special requirements.
Please let us know whether you plan to attend the social event
*
Yes
No
Please let us know whether you plan to attend 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 emitted to
Address
Town and country
Postal code
Fiscal code or VAT number (if not applicable, please enter 000)
Send
Should be Empty: