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 Eur 400 (21% VAT included)
People from academic and non-profit organizations Eur 550 (454.55 + 21% VAT)
Others Eur 900 (743.80 + 21% VAT)

Late registration fee (Eur 60 [49.59 + 21% VAT] after April, 15th): 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 ABS13 Summer School, under the Italian Legislative Decree no. 196/2003 "Code on personal data".