Registration Form

International Conference on Integrated Quantum Photonics
Rome, 26 to 29 Sept 2017

Registration fees

Early bird registration - before 30 June 2017

PhD student: € 240.00
Full registration: € 320.00

Late registration - from 1 July to 10 September 2017
PhD student: € 280.00
Full registration: € 360.00

The registration includes: attendance to scientific sessions, congress kit, lunches, coffee breaks, social dinner and VAT 22% .

Question Title

* 1. Personal details

Name

Surname

Position (e.g., PhD student, Professor, etc)

Institution

Address

Town

Country

Question Title

* 2. Invoice information. (please provide full details of the Person/Institution/Company to whom the invoice should be addressed to)
Invoices will be sent by email after a few days from payment receipt.

Person/Institution/Company

Address

Zip code

Town

Country

VAT number or Fiscal code°

Telephone

°VAT number or Fiscal code are mandatory for all institutions/companies and for Italian participants. In the other cases, please insert N/A.

Question Title

* 3. Special requirements (e.g., dietary requirements, allergies)

Question Title

* 4. Type of registration

PhD student registration

Full registration

Question Title

* 5. Method of payment

Bank transfer

Credit card / Paypal

For enquiries: info@jeangilder.it

Conference website

Question Title

* 1. Personal details

Question Title

* 2. Invoice information. (please provide full details of the Person/Institution/Company to whom the invoice should be addressed to)Invoices will be sent by email after a few days from payment receipt.

Question Title

* 3. Special requirements (e.g., dietary requirements, allergies)

Question Title

* 4. Type of registration

Question Title

* 5. Method of payment

* 2. Invoice information. (please provide full details of the Person/Institution/Company to whom the invoice should be addressed to)
Invoices will be sent by email after a few days from payment receipt.