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13-15 September - Centro 3R: IV ANNUAL MEETING

CONFERENCE REGISTRATION

	Early registration (Until August 2nd)	Late registration (August 3rd-September 6th)
Full participant	100,00	150,00
Research fellow/post-doc	30,00	60,00
Student	Free	30,00

(Prices in Euros, VAT included)

REGISTRATION FORM

PERSONAL DATA

NAME* SURNAME* E-MAIL* INSTITUTION/UNIVERSITY* FISCAL CODE (MANDATORY FOR ITALIAN CITIZENS) DATE OF BIRTH* PLACE OF BIRTH (TOWN, COUNTRY)* PERSONAL ADDRESS (STREET, TOWN, STATE/PROVINCE...)* ZIP CODE COUNTRY* TYPE OF INVOICE*

COMPANY DATA

THIS SECTION IS MANDATORY IF YOU CHOSE INVOICE TO COMPANY

COMPANY/ BUSINESS NAME VAT NUMBER COMPANY FISCAL CODE CODICE SDI PER FATTURA ELETTRONICA (ONLY FOR ITALIAN COMPANIES/INSTITUTIONS) COMPANY ADDRESS (STREET, TOWN, ZIP CODE, STATE/PROVINCE...) COMPANY COUNTRY

ADDITIONAL INFORMATION

DO YOU HAVE ANY DIETARY REQUIREMENTS?*

Yes

IF YES, PLEASE SPECIFY YOUR DIETARY REQUIREMENTS ARE YOU SUBMITTING A PAPER?*

Yes, I am an author

Yes, I am a coauthor

WHICH DAY/DAYS ARE YOU ATTENDING?*

September 13th

September 14th

September 15th

FEES

REGISTRATION FEE*

Full participant

Research fellow/post-doc

Student

For STUDENTS: please upload here a proof of your student status (Max 5 MB) CHOOSE YOUR PAYMENT METHOD*

Credit Card

Bank Transfer

Free (Student early bird)

Acconsento al Trattamento dei dati* - I authorise the privacy policy*

In caso di errore, i file andranno ricaricati
* = Campi obbligatori/Mandatory fields

Once you sent the registration form (click Invia/Confirm) you can proceed with the payment.

> GO TO PAYMENT <

Link to the conference web-site

Link to the Centro 3R: IV Annual Meeting official website

Click here

Pragma Congressi S.r.l.

c/o Labora Coworking - Corso Mazzini 14, 27100 Pavia (PV)
Tel. +39 0382 309579 - Mobile +39 375 5385993 - Fax +39 0382 304892 - E-mail:

P.IVA 02031910181 - Codice SDI: USAL8PV
E-mail Certificata (PEC):