REGISTRATION FORM

To attend the Conference a registration fee is required.
For publishing the paper and including it into the program the registration fee
is due before January 31st

Registration fee includes: Attendance to the Scientific Sessions; Conference facilities; Proceedings (hard copy + CD-Rom)
5 Coffee breaks; 3 Lunches ; 1 Conference Dinner

Date Mr. Mrs. / Dr. / Prof.
Delegate's Surname First name
Organization Department
Postal Address Town incl.Zip
Country telephone
e-mail please note that all correspondence and invoicing will be by email

VAT* number
(for invoicing)

C.F.*
(for invoicing)

* DATA FOR INVOICING - COMPULSORY ONLY FOR ITALIANS
This form is valid only if VAT (P.IVA) and Fiscal Code (C.F.) of the Organization (not personal) are provided.
Please insert your personal C.F. only if you want to invoice the registration to your personal address and not to the Organization written above. In this case please fill in the registration form with your personal data

I REGISTER TO THE CISAP4 CONFERENCE PAYING THE FEE OF EURO

€ 600 (20% VAT included)
my payment is made before* January 31st
€ 660 (20% VAT included)
my payment is made after* January 31st
€ 420 (20% VAT included)
student fee
In addition to the items included in the fee I would like to buy:
€ 80 (20% VAT included)
extra conference dinner
(for accompanying person)
 
TOTAL PAID
 

I AM SETTLING MY PAYMENT BY THE FOLLOWING WAY (tick as appropriate)

CHEQUE made payable to "AIDIC Servizi S.r.l." (please send to address of CISAP4 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) IBAN CODE: IT72M0306901749000011154138
SWIFT CODE: BCI T I T 33124
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 !
CREDIT CARD

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

*IMPORTANT NOTES*
The submission of this form confirms the participation and becomes a valid registration when the payment has been received.
* For forms received after January 31st, 2010 the fee due is of Euro 660.
* The fee is valid for the participation of one author and the presentation of one paper.
Cancellations before February 28th, 2010 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.

AIDIC Servizi Via G. Colombo 81/A 20133 Milano P.IVA e Codice Fiscale 11667680158