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Partecipant Data

1. Name(required field)
2. Family Name(required field)
3. Address(required field)
4. City / Province(required field)
5. ZIP/CAP(required field)
6. Country(required field)
7. Phone
8. Mobile(required field)
9. Fax
10. Email(valid email required)
11. Profession(required field)
12. Degree

Congress Options

1. IFSPS Membership I'am already a member IFSPS I want to become member (90 €) I want to become member (60 €) (*) I do not want to become member (required field)
2. Congress (250 €) Early Bird Full Pass (if purchased before 24/03) (190 €) Early Bird Full Pass (if purchased before 24/03) (*) (320 €) Full Pass (if purchased from 21/03 to 25/04) (250 €) Full Pass (if purchased from 21/03 to 25/04) (*) (200 €) Single Day Pass 26/04 (200 €) Single Day Pass 27/04 (100 €) University Student / Private School / Master Attendant (required field)
3. Dinner Venice Cruise Dinner 26 April (80 €) (1PAX) NO Cruise Venice Cruise Dinner 26 April (160 €) (2PAX) Venice Cruise Dinner 26 April (240 €) (3PAX) Venice Cruise Dinner 26 April (320 €) (4PAX) (required field)
4. Payment Type Bank Transfer (required field)
5. SWIFT / BIC : BAPPIT21285
6. Copy & Paste IBAN : IT56I0503412105EUR200000715
7. IFSPS IBAN : IT 56 I Ø5Ø34 121Ø5 EUR 2ØØØØØ715
8. .
9. (*) association member, scientific society or federation members of IFSPS

Invoicing Data

1. Company Name(required field)
2. Company Address(required field)
3. VAT/IVA/TAX ID(required field)
4. CF

 

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