Please fill out the required fields. Please note that fields with an asterisk are mandatory
ONLINE REGISTRATION DEADLINE:
June 15, 2018
After this date you may register onsite at full rate
 
PLEASE NOTE:
Payment of registration fees (in EURO) can be made by Credit Card (Visa, MasterCard or American Express) or Paypal
 
Course Name/Date*:
 
Title*:
 
First Name*: Last Name*:
 
Sex*: Date of birth (dd-mm-yyyy)*:
 
Place of birth*: Fiscal Code (Italian Citizens only):
 
Home Address*:
 
Postal Code*: City*:
 
Country*: Nationality*:
 
Mobile Number (please include country code)*: Phone Number (please include country code):
 
E-mail Address*: Fax Number (please include country code):
 
Profession*: Discipline*:
 
Registration Fee (VAT 22 % included):
It includes: admission to the Congress, Exhibition, Opening Ceremony and Welcome Cocktail, Congress documentation, Certificate of Attendance, coffees breaks and light lunches.
Registration Cancellation Policy:
All cancellations must be electronically mailed. Refund of registration fee will be as follows:
• Cancellations received until and including March 30, 2018 - full refund.
• Cancellations received between April 1 and May 31, 2018 - 50% will be refunded.
 
Comments:
Please enter any comments or other information you feel would be useful to submit:
Please here attach copy of 2018 Membership fees
 

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