Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Title *Prof.Prof.Dr.Mr.Mrs.Name *FirstLastEmail *Affiliation *Dietary requirementsNotesHave you submitted an abstract as author or co-author?YesNoRegistration Fee *PHD STUDENTS – 330,00 €SENIOR RESEARCHER – 530,00 €Registration fee includes: • congress kit • lunches • coffee and tea breaks Do you want to participate in the wine tasting on June 10th? *YesNoSocial dinner (12th of June) *YesNoSeafood dinner on the beach at “Ristorante Il Patio” in Fregene (https://ilpatiofregene.it)Euro 70,00 per person *Price: 0,00 €123456(Cost per person; Transfer from and to the location included. You can bring a companion, indicate the number of people you will be.)Total Order Summary Item Quantity Total There are no products selected. Registration Fee – PHD STUDENTS1330,00 €Registration Fee – SENIOR RESEARCHER1530,00 €Euro 70,00 per person 10,00 €Total0,00 € 0,00 €Do you need Invoice? *YesNoBilling detailsCompany Name or Surname/Name *Address *City *Country *P.iva/VAT *NotesTotal0,00 €Payment method *Credit cardWire transferCardholder Name *Credit Card *Regent International Srl BANCA: Banco di Sardegna IBAN: IT 46Z 01015 03200 000000031070 Swift/BIC BPMOIT22XXX Bank transfer reason: SURNAME + ERCOFTAC Please send email with bank transfer receipt to: [email protected] Privacy policy *ConfirmBy completing this form, I confirm that I have read and accept the Privacy Policy Submit
