REGISTRATION FORM






Please fill in the required fields.	Please note that fields with an asterisk are mandatory
ONLINE REGISTRATION DEADLINE:
Early: Open until 31 March, 2020 Regular: From 1 April to 15 June, 2020 Late/On Site: From 16 June, 2020

PLEASE NOTE:
Payment of registration fees (in EURO) can be made by Credit Card (Visa, MasterCard or American Express) or Paypal

Event 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):


Privacy Policies ex art.13 Reg. UE 2016/679
Information on the processing of personal data pursuant to article 13 of EU Reg. 2016/679 - Collage S.p.A., in its capacity as Data Controller, in the person of its pro tempore legal representative, with registered office in Via Umberto Giordano 55 - 90144 Palermo (PA) tel. +39 0916867401 e-mail: info@collage-spa.it, PEC collagespa@pec.it, wishes to inform you that the European Reg. 2016/679 "General Data Protection Regulation" (GDPR which replaces the previous "Privacy Code" D. Lgs. 196/03) is a set of provisions that harmonize the protection of personal data, in all EU member states. In accordance with the provisions of Articles 13 and 14 of the EU Reg. 2016/679, we therefore provide you with the present information that will enable you to know all our policies on the processing of data that we collect when you register with us. events, which may occur through our website or by sending a suitable form, in order to allow you to give consent to the processing of your personal data expressed, aware, informed and specific. Processing methods, data retention The data will be processed with the aid of electronic or automated means, stored for the times defined by the relevant legislation. In any case, the retention period of your data will be exclusively represented by the time necessary to pursue the aforementioned purposes and will be equal to the duration of the service relationship between you and Collage S.p.A., without prejudice to the need for contractual, administrative, fiscal, accounting or of law following the termination of the relationship. Exercise of rights At any time, you may exercise your rights to Collage SpA, e-mail: info@collage-spa.it, (the right to ask the data controller to access personal data and to correct or delete them or limitation of the processing that concerns them or to oppose their treatment, the right to data portability, the right to lodge a complaint with the Data Protection Authority) specifically provided for in Chapter III of the 2016/679 European Regulation. Withdrawal of consent The consent may be revoked at any time, without prejudice to the lawfulness of the processing based on consent given before the revocation and the further processing of the same data based on different legal bases with respect to the consent itself, such as fulfillment of contractual obligations and of law. Responsible for protection For further information on this information or on the subject of privacy, or to exercise your rights or withdraw consent, you can send an e-mail to info@collage-spa.it To contact our Responsible for DPO Protection you can write to: privacy@collage-spa.it We inform you that if you do NOT AGREE to the processing of personal data it will not be possible to send this form. Thank you for your patience. By clicking on the confirmation button below, your registration request will be recorded and a summary email will be sent containing the data you have entered.



Full Registration includes:
• Workshop full kit • Badge • Voucher for coffee breaks and lunches • Workshops sessions	• Free web access to papers • Welcome Reception • Street food dinner • Gala dinner • VAT 22 %

One Day Registration includes:
• Workshop full kit • Badge • Voucher for coffee breaks and lunches	• Workshops sessions • Free web access to papers • VAT 22 %

Student Registration includes:
• Workshop full kit • Badge • Voucher for coffee breaks and lunches	• Workshops sessions • Free web access to papers • VAT 22 %

Companion Registration includes:
• Welcome Reception • Street food dinner	• Gala dinner • VAT 22 %








Companion Names:
Please enter all companion names:




Invoice request:
Should you require an invoice we would be grateful if you could fill out the following fields: • Name of your Company (Recipient) • Registered Office Address • Company Registration Number (CRN) • VAT Number • Code for electronic invoicing




Registration Cancellation Policy:
Cancellations must be received in writing to contact@ewshm2020.com. No fee for cancellation till May 1st, 2020. There will be a 100 Euro fee after May 1st till June 1st 2020. No refund will be processed after June 1st, 2020.

Special requirement:
Please enter any comments or other information (assistance/meals/allergies/others):





AMOUNT DUE: