s MI&T Congressi - Organizzazione Congressi - Iscrizione al Congresso

 

REGISTRATION FORM:
   SUMMER SCHOOL PHYSICAL SENSING AND PROCESSING
   
    Period : 3rd July 2019 - 10th July 2019
    Location : BOLOGNA
   On-line Registration will be available until 10th July 2019
 
   Family Name *
   
 
   Name *
   
 
   Place of Birth *
   
 
   Date of Birth *
   
 
   CODICE FISCALE ( ONLY FOR ITALIAN PEOPLE )
   
 
   Institute *
   
 
   RECEIPT HEADING *
   
 
   RECEIPT ADDRESS *
   
 
   City *
   
 
   Postal Code *
   
 
   Nation *
   
 
   Mobile *
   
 
   Fax
   
 
   Intolerances/food allergies
   
 
   E-mail *
   
 
    Privacy
   
    I have read and I accept the above conditions
 
   Note:
   Bank Transfer : Summer school+ family name
 
Select Option
Before 01/07/2019
Before 10/07/2019
After 10/07/2019
Regular
€ 230,00
€ 230,00
€ 230,00
Reduced
€ 150,00
€ 150,00
€ 150,00
 
 
Payment Mode

Bank Transfer:
Owner : MI&T SRL
IT71I0638502403100000004376
Swift Code/Bic Code IBSPIT2BXXX
Description: please write your family name + summer school

Credit Card (CartaSi, Visa, Visa Electron, Mastercard, American Express)
 
Amout to pay: