X-shooter 2010 Congress Registration online

Registration

To send the form by email or fax: download the registration form here. To submit your request on line complete THE FORM BELOW.

Please take a look at the cancellation policy before registering!

CANCELLATION POLICY: Cancellations are accepted only up to 15 October 2010. After this date, please contact the Organizing Secretariat.

Personal data

Family Name First Name

Institution Address

Zip Code & Town Country

Telephone Fax

Social dinner

YES, I am going to take part the social dinner - Number of people:
NO, I am not going to take part the social dinner

Payment information

Registration fees - VAT 20% included (please select one)

€ 250,00 (after 1 September 2010)

Payment options (please select one)

by bank transfer made out to Centro Volta, ref. “ESPS-NIS”, drawn on Banca Prossima S.P.A., via Manzoni ang. Via Verdi, 20121 Milano IBAN: IT32 J033 5901 6001 0000 0010 035 – BIC: BCITITMX - Please send a copy of the bank transfer by fax to 0039.031.573395
by credit card online (you will find the link to the Reserved Area for online payments on the confirmation page after submitting the form)

Type of document (please select one)

receipt
invoice

Invoice to be sent to:
VAT identification number/Fiscal code (indicate both if different):

Please note: VAT id and fiscal codes are mandatory to issue invoices!

PLEASE NOTE: by submitting this registration form you authorise Centro di Cultura Scientifica “A.Volta” to include your personal data on its mailing list for the distribution of information material. In accordance with the Law 196/2003, you may have access to these details at any time and request their modification and cancellation.