Family name
First name
Telephone
Fax
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 (22% VAT included)
People from academic and non-profit organizations Eur 550 (450.82 + 22% VAT)
Others Eur 900 (737.70 + 22% VAT)
Late registration fee (Eur 60 [49.18 + 22% VAT] after April, 1st):
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 ABS15 Summer
School, under the Italian Legislative Decree no. 196/2003
"Code on personal data".