E-mail

Student Advisor

Department/Office

Institution/Company

Data of Istitution or Company

E-mail

Address

City Postal Code

Country

Telephone Fax

ACCOMPANYING PERSON Yes No N.

Particular request (e.g. vegetarian meals, facilities for disabled people)

REGISTRATION FEE

Student Euro 530 (20% VAT included)
People from academic and non-profit organizations Euro 690 (575 + 20% VAT)
Others Euro 990 (825 + 20% VAT)

Early registration (-30 Euro before March, 1st): Yes No

Late registration fee (30 Euro after April, 30th): Yes No

Italian public employee (VAT exempt) Yes No

CHOOSE BETWEEN THE TWO INVOICING WAYS:

Holder of the payment

Participant

Organization

I authorize the processing of my personal data transmitted by me for the management of ABS11 Summer School, under the Italian Legislative Decree no. 196/2003 "Code on personal data".