Your details:
Family Name*:
First Name(s)*:
Address*:
City*:
State*:
Zipcode*:
Country*:
Phone*:
Fax:
Email*:

A regular invoice of the payment will be issued to the name and address of participant as indicated in your details.
Otherwise please fill as follows:
Society:
Family Name:
First Name:
Address:
City:
Zipcode:
State:
VAT Number:

For Italian participants only:
E' obbligatorio fornire Codice Fiscale e Partita IVA (per chi ne è in possesso) da inserire nelle caselle sottostanti.
Senza questa informazione la registrazione non sarà completata.
CF:
P.Iva:
Legislative decree 196/2003 "Personal Data Protection Code".
The responsible for personal data processing is Centro Italiano Congressi (CIC) Corso Trieste 42, 00198 Roma. In accordance with the provisions of art. 13, Centro Italiano Congressi (CIC) assures you that all information provided will be secure and kept confidential. Centro Italiano Congressi (CIC) assures you that your personal details and all other information supplied voluntarily, will be used, with your consent, in regard to this and future events. This data will only be used internally and by any subsequent third parties involved solely for contractual reasons. However, in accordance with the provisions of art. 7. You have the right to request, to delete, or to change your personal data. You will be able to exercise such rights by writing us.
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