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ON-LINE REGISTRATION 2013 INTERNATIONAL MEETING ON ASTHMA COPD AND CONCOMITANT DISORDERS

PLEASE FILL IN THE FORM BELOW WITHIN DECEMBER 17TH, 2012

FOR ANY NEED PLEASE CONTACT THE ORGANIZING SEGRETARIAT:

CONSORZIO FERRARA RICERCHE

Conference Training Activities Office
Elisa Veratelli, Marzia Sivieri
Phone +39 0532 762404
Mobile +39 3357089588
E-mail: convegni@unife.it; elisa.veratelli@unimore.it

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TRAVEL AND ACCOMODATION DETAILS
TRAVEL AND ACCOMODATION EXPENSES WILL BE PAID BY ORGANIZING SECRETARIAT
HOTEL ACCOMODATION ACCOMODATION WILL BE PROVIDED BY THE ORGANIZING SECRETARIAT AT SAN SERVOLO ISLAND (VENICE). PLEASE PROVIDE WITH THE NAME OF ACCOMPAYING PERSON, IF ANY.
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SOCIAL EVENTS DINNERS WILL BE ORGANIZED BY THE SECRETARIAT, PLEASE PROVIDE FOR YOUR KIND CONFIRMATION
We inform you as stated by art. 13 D. lgs 196/03 Personally identifiable information are used for the purpose of participation at the course. You can choose to let us collect your data or not, but if you don't, participation to the course is not possible. Data will be used also with electronic devices and may be used for administrative, fiscal and/or commercial activity. We will not pass data to unauthorized third parties. Responsible for the use of data is C.F.R., Via Saragat, c.n. 1, 44122, Ferrara (FE). You should act for your right as stated in art. 7, by sending an e-mail to cfr@unife.it.
I have read and agree with the statement above