REGISTRATION FORM

Please fill out the required fields.

Please note that fields with an asterisk are mandatory

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*:

Home number*:

Postal Code*:

City*:

Country*:

Mobile Number (please include country code)*:

Phone Number (please include country code):

E-mail*:

Law of contract

Profession*:

Discipline*:

ISEI MEMBERSHIP FEES

Total Fee/Option: -

PRE-CONGRESS REGISTRATION FEES

Pre-Congress will be held only in presence, in order allowing practical sessions. Each participant will have the opportunity to choice 2 sessions, for a total of six hours.

Total Fee/Options: -

ISEI Members
Non-ISEI Members

First session 9:00 am - 12:00 am	Second session 1:00 pm - 4:00 pm

CONGRESS REGISTRATION FEES

Registration fees are different depending on whether you register for the virtual event or the in-person event. The virtual participation will be allowed only to listeners.
At least one author must be registered for the Congress to present the paper/poster in presence.

Total Fee/Options: -

ISEI Members
Non-ISEI Members

In Presence
Virtual

The registration fee includes:

• Participation in the Scientific Sessions
• Coffee Break and business lunches

• Congress Kit
• certificate of attendance
• IVA 22%

Please enter any comments or other information you feel would be useful to submit:

Total to pay: