REGISTRATION FORM

To attend the Symposium a registration fee is required.
For publishing the paper and including it into the final program the registration fee
is due before February 15

Registration fee includes: attendance to the scientific sessions; conference facilities;
proceedings (hard copy + CD-Rom) coffee breaks; 20% taxes

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 IBIC2010 PAYING THE FEE

FULL €350+20%VAT=
€ 420
my payment is made before*
February 15
  
STUDENT €250+20%VAT=
€ 300
my payment is made before*
February 15
  
LATE (only for non speaker)
€400+20%VAT= € 480
my payment is made after*
February 15
  
IN ADDITION, I WOULD LIKE TO BUY
€ 80 (20% VAT included)
dinner on Tuesday, April 13
 
TOTAL PAID
  
 

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

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
CHEQUE made payable to "AIDIC Servizi S.r.l." (please send to address of IBIC2010 Secretariat)

*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 February 15, 2010 the fee due is of Euro 480.
* The fee is valid for the participation of one author and the presentation of one paper.
Cancellations before March 12, 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