Registration Form

Last Name  
First Name 
Academic qualifications 
Affiliation/Institution 
Personal Address
City
Postal Code
Country
Telephone
Fax
E-mail 

        I wish to attend the Conference

        I wish to present a poster with the following provisional title:

        I wish to submit a paper with the following provisional title:

             I will need for my communication  :    

1 slides projector
2 slides projector
overhead projector
power-point

Together with the registration form I send to the Conference Secretariat by e-mail or by fax (+39 063728102) a brief summary of my paper/poster not exceeding one page, which will be included in the book of abstracts (see Abstracts).

Please, reserve hotel accommodation (see Accommodation) in:

   single room (limited numbers)

   double room, sharing with:    (Last Name- First Name)

                                                      colleague chosen by the organizers

   triple room (limited numbers)

The Conference Secretariat will send you a note of acceptance of your partecipation by 30 May 2003, with the confirmation of your  hotel reservation and conditions of payment.

        Date,