ON-LINE REGISTRATION

GENERAL INFORMATION

Personal information is required for the invoice, which we are obliged to provide after each payment.

First Name  

Last Name  

Short affiliation/institution   To be printed on badge

Gender  

Male
Female

Date of Birth  

Place of Birth   City, Region, State.

Address of residence   Please indicate your personal address of residence.

City/State  

Zip/Postal Code  

Country  

Phone

Fax

E-mail address  

REGISTRATION FEES

Late registration - From May 1st inclusive  

REGULAR FEE 280 EUR

REGUALR FEE 280 EUR + SOCIAL DINNER 35 EUR - total amount due 315 EUR

STUDENT FEE 180 EUR

STUDENT FEE 180 EUR + SOCIAL DINNER 35 EUR - total amount due 215 EUR

UPLOAD THE LETTER OF THE SUPERVISOR CERTIFYING THE STATUS MANDATORY for Student registration (from Bachelor to PhD).

Additional tickets for the Welcome cocktail and the Social Dinner   Do you want to book additional tickets for the welcome cocktail and the social dinner at the cost of Euro 50,00 (taxes 20% included) each to be paid directly at the registration desk?

YES
NO

If YES please indicate:

Number of tickets

Accompanying person

INVOICE DATA

Do you want to invoice your Organization/Institution

YES
NO

If yes, please address the invoice to:

Organization/Institution name

Address

Zip Code

City/State

Country

Fiscal Code or VAT Number (MANDATORY)

In absence of data, the invoice will be addressed to the registrant.

METHOD OF PAYMENT

Important notes: Payment must be made in Euros only. Registration must be accompained by the full payment.

BANK TRANSFER

UPLOAD THE COPY OF THE PAYMENT DONE BY BANK TRANSFER Mandatory only for payments made with bank transfer.

CREDIT CARD

CONGRESS MATERIAL

ECBB2010 THINKS GREEN   One copy of the abstracts book is included in the registration. Please select your preferred choice:

ELECTRONIC FORMAT (CD)

PRINTED FORMAT (BOOK)

NOTE TO SECETARIAT

Remarks