XXX INTERNATIONAL MEETING FACULTY ON-LINE REGISTRATION FORM

PERSONAL DATA

TITLE   --------PROF.DR.MR/MS/MRS

NAME  

MIDDLE NAME If applicable.

SURNAME  

E-MAIL  

MOBILE PHONE No.  

PLEASE INDICATE THE NAME OF YOUR SECRETARY/ASSISTANT FOR CONTACTS

PLEASE INDICATE THE E-MAIL ADDRESS OF YOUR SECRETARY/ASSISTANT

MANDATORY DATA FOR AIFA

PLEASE INDICATE YOUR DEGREE  

PLEASE INDICATE YOUR SPECIALIZATION/SPECIALTY:  

PLEASE INDICATE YOUR POSITION:  

PLEASE INDICATE YOUR ORGANIZATION/INSTITUTION:  

PLEASE INDICATE THE CITY AND THE COUNTRY OF YOUR ORGANIZATION/INSTITUTION:  

TRAVEL

THE TRAVEL EXPENSES WILL BE COVERED BY THE ORGANIZATION. TICKETS BOOKING COULD BE MANAGED BY THE SECRETARIAT UPON REQUEST.

DO YOU WANT THE SECRETARIAT TO BOOK YOUR TRAVEL TICKETS?   -----------------------------------------------------------YES, PLEASE BOOK MY TICKETS AS FOLLOWS:NO, I WILL ASK FOR THE REIMBURSEMENT AT THE END OF THE MEETING

IF YES, PLEASE PROVIDE US FOR THE FOLLOWING INFORMATION:

DEPARTURE CITY

PLEASE INDICATE THE DEPARTURE DATE AND THE PREFERRED TIME FOR THE ARRIVAL FLIGHT/TRAIN

Anno --2025 / Mese --gennaiofebbraiomarzoaprilemaggiogiugnoluglioagostosettembreottobrenovembredicembre / Giorno --12345678910111213141516171819202122232425262728293031   Ora --000102030405060708091011121314151617181920212223 : Minuto --000510152025303540455055

PLEASE INDICATE THE DEPARTURE DATE AND THE PREFERRED TIME FOR THE RETURN FLIGHT/TRAIN

Anno --2025 / Mese --gennaiofebbraiomarzoaprilemaggiogiugnoluglioagostosettembreottobrenovembredicembre / Giorno --12345678910111213141516171819202122232425262728293031   Ora --000102030405060708091011121314151617181920212223 : Minuto --000510152025303540455055

DESTINATION CITY

PLEASE SPECIFY THE TYPE OF LUGGAGE

HAND LUGGAGE
CHECKED BAGGAGE

PLEASE ENTER YOUR FREQUENT FLYER PROGRAM NUMBER/CARTAFRECCIA FOR TRAINS

caratteri ancora disponibili

PLEASE UPLOAD YOUR PASSPORT MANDATORY FOR THE FLIGHT TICKETS PURCHASE

IF NO, IN ORDER TO GUARANTEE THE CORRECT ASSISTANCE, PLEASE UPLOAD A COPY OF THE TICKETS OR THE ITINERARY MANDATORY FOR THE TRANSFER ARRANGEMENTS FORM/TO THE AIRPORT

OR TYPE BELOW YOUR TRAVEL SCHEDULE

ARRIVAL DATE AND TIME AIRPORT/STATION FLIGHT/TRAIN NUMBER DEPARTURE DATE AND TIME AIRPORT/STATION FLIGHT/TRAIN NUMBER

TICKET PURCHASE IMPORTANT NOTE: From 1 January 2025, travel tickets must be purchased with debit or credit card; reimbursement requires submission of original receipts and the personal credit card statement showing the payment.

HOTEL ACCOMMODATION

HOTEL BOOKING   -----------------------------------------------------------YES, PLEASE BOOK MY ROOM AS FOLLOW:NO, I DO NOT NEED ANY ACCOMMODATION

PLEASE SELECT THE NIGHT/S

NOVEMBER 30

DECEMBER 1

DECEMBER 2

I REQUIRE ADJUNCTIVE NIGHT/S

PLEASE INDICATE THE ADJUNCTIVE NIGHT/S IF REQUIRED PLEASE NOTE, THE CONFERENCE ORGANIZATION WILL COVER THE EXPENSES FOR A MAXIMUM OF 3 NIGHTS, EXTRA NIGHTS COULD BE BOOKED BUT SHALL BE CONSIDERED IN CHARGE OF THE PARTICIPANT AND SHALL BE PAID DIRECTLY TO THE HOTEL UPON DEPARTURE.

TYPE OF ROOM

DOUBLE ROOM SINGLE USE (DUS)

DOUBLE

TWIN (2 separate beds)

NAME AND SURNAME OF THE ACCOMPANYING PERSON

PLEASE INDICATE IF YOU NEED A CAR PARKING PLACE IN THE PRIVATE HOTEL PARKING

YES
NO

DINNERS

PLEASE PROVIDE US FOR YOUR KIND CONFIRMATION.

I CONFIRM I WILL ATTEND THE FOLLOWING DINNER/S:  

SUNDAY NOVEMBER 30 (WELCOME BUFFET DINNER AT THE HOTEL-FACULTY MEMBERS AND DELEGATES)

MONDAY DECEMBER 1 (SOCIAL DINNER AT THE HOTEL-FACULTY MEMBERS AND DELEGATES)

TUESDAY DECEMBER 2 (FACULTY ONLY DINNER IN A RESTAURANT IN FLORENCE)

I WILL NOT ATTEND ANY DINNER

PLEASE INDICATE ANY DIETARY RESTRICTIONS OR ALLERGIES