Registration form

Registration fee includes:
Attendance to the Scientific Sessions
Conference Facilities
Abstracts Book + Full papers CD-Rom
  Coffee Breaks & Lunches
  20% taxes

Date  
Surname  
First name  
Academic Title  
Organization  
VAT nr.
(for invoicing)		 compulsory only for Italians. Registrations are not acceptable without P.IVA or C.F.
Department  
Street or POBox  
Town incl.Zip  
Country  
telephone  
fax  
e-mail  

Fees
(20% taxes included)


Price
payment* before June 10, 2007

Price
payment* after June 10, 2007

Total
FULL FEE
450 EUR
500 EUR
STUDENT FEE
300 EUR
350 EUR
Total amount due

* The submission of this form confirms the participation and becomes a valid registration when the payment has been received.

I am settling my payments in the following way (tick as appropriate):

Cheque made payable to "AIDIC Servizi S.r.l." (please send to address of CIGR Secretariat)

Bank transfer to:
AIDIC Servizi S.r.l.
(bank name and agency number) BANCA INTESA, Ag. 59,
(address) Via CELORIA 2, I-20133 Milano, Italy
(bank coordinates) CIN M ABI 3069 CAB 01749 ACCOUNT 000011154138
SWIFT CODE: BCI T I T 33124 - IBAN CODE: IT72M0306901749000011154138
Please make sure that your bank transfer charges are not deducted from the total payment required.
Please indicate in the transfer form the full name of the participant otherwise it is impossible to know to whom send the invoice!
Credit Card
Type of Credit Card

Credit Card No
(16 digits)
security code CVV2
(behind your card - last 3 numbers)
Card expiration date
Card holder

Cancellations before September 1, 2007 will be charged by 20% costs. Beyond such date the fee will not be refunded. Only written cancellations will be accepted (letter or fax, not e-mail). Substitutions will be accepted at any time, provided they are notified to the Secretariat.