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Registration form
Please read the
disclaimer first!
Disclaimer: When using this
on-line registration form the data herein (including your creditcard
data) will be sent over the internet to the Conference office.
| login (choose one) |
password (choose one)
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| First Name |
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| Last Name |
Initials Mr,Mrs,Dr,Prof |
| Institution |
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| Department |
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| Address |
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| Postal Code |
City
Country |
| Telephone |
Fax |
| Email |
Speciality |
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(*) Members from low income countries may apply for a low
entrance fee. |
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(**) A letter from the head of the department is
required. |
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| Payment |
Payment should be made in Euro's only |
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Made
payable by certified cheque, payable to Twice Travel srl,
participants name and full address; please send the cheque to
Twice Travel srl, Via Lima n. 4, 00198 Rome ITALY |
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Guaranteed by credit card (Only Visa or Mastercard, see
disclaimer above) |
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If you want just submit your abstract and
pay registration fee in a second time, please click here |
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