Registration Form

Registration Form

Personal Data

First Name:
Last Name:
Date of Birth (DD/MM/YYYY):
Place of Birth:
Country of Birth:
Italian Fiscal Code (If Available):
Affiliation:
Address:
City:
ZIP Code:
Country:
E-Mail:

Registration Fee

23/11/2024	Before March 24^th, 2024	After March 24^th, 2024
Standard	550 €	700 €
Student	450 €	550 €
Speaker	Free of Charge

Additional Items

Additional Welcome Reception Tickets	45 €		€
Additional Gala Dinner Tickets	75 €		€

Payment Method

Paypal or Credit Card

Bank Transfer

Total

€