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, extranight)

REGISTRATION FEE

Student Euro 350 (21% VAT included)
People from academic and non-profit organizations Euro 500 (413.22 + 21% VAT)
Others Euro 800 (661.16 + 21% VAT)

Late registration fee (Euro 50 [41.32 + 21% VAT] after May, 31st): Yes No

Italian public employee (VAT exempt) Yes No

Accommodation (4 Nights at Collegio Volta, 3-7/9, Euro 250 [206.61 + 21% VAT]) st): 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 ABS12 Summer School, under the Italian Legislative Decree no. 196/2003 "Code on personal data".