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ICOAM 2017 registration form
Registration fees
Early bird registration deadline. Before 30 June 2017
PhD student: € 250.00
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Full registration: € 500.00
Late registration. From 1 July to 10 September 2017
PhD student: € 300.00 --- Full registration: € 600.00
The registration includes: attendance to scientific sessions, congress kit, lunches, coffee breaks, welcome reception and VAT 22%.
Optional event: Social dinner on Thursday 21 September
€ 62.00 per person
The social dinner will be held on 21 September in a typical Capri style restaurant (four-course meal, beverages included).
______________________________________________________________________________
*
1.
Personal details
(Required.)
Name
Surname
Position (e.g., PhD student, Professor, etc)
Institution
Address
Town
Country
Email
*
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.
(Required.)
Person/Institution/Company
Address
Zip code
Town
Country
VAT number or Fiscal code°
Email
Telephone
°VAT number or Fiscal code are mandatory for all institutions/companies and for Italian participants. In the other cases, please insert N/A.
3.
Special requirements (e.g., dietary requirements, allergies)
*
4.
Type of registration
(Required.)
PhD student registration
PhD student registration + social dinner
Full registration
Full registration + social dinner
5.
If you plan to attend the social dinner, we recommend to purchase it together with the registration. You can choose between three menu options.
Select now the menu you prefer.
Fish menu
Meat menu
Vegetarian menu
*
6.
Method of payment
(Required.)
Bank transfer
Credit card / Paypal
To purchase extra dinner tickets for accompanying person please contact the organizing secretariat (icoam2017@jeangilder.it).
For enquiries: icoam2017@jeangilder.it
Conference website