Registration Form

Registration fee includes:
Attendance to the Scientific Sessions
Conference Facilities
Abstracts Book
  1 Guided Tour
  Coffee Breaks; 1 Gala Dinner

click here for hotel accommodation

Surname
First name
Academic Title
Organization
Department
Street or POBox
Town incl.Zip
Country
telephone
fax
e-mail
name of accompanying person

Fees
(20% taxes included)


Price
payment* before January 31, 2007

Price
payment* after February 1, 2007

Total

FULL FEE-IAS member
520 EUR
570 EUR
click here for IAS membership    
FULL FEE-non IAS member
620 EUR
670 EUR
STUDENT FEE*
400 EUR
450 EUR
ACCOMPANYING PERSON
(1 guided tour+1 gala dinner)
100 EUR
100 EUR

Total amount due

* The submission of this form becomes a valid registration only after the payment has been received.
*Students have to confirm their status by sending a letter signed by their advisor to the FOA9 Secretariat.

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 FOA9 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 name of the participant and the company.

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 April 30, 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.