Degree & Profession - Virtual Expo and International Award


REGISTRATION FORM

( 2010 Edition)

Personal information
Institute of Provenance / Company

Title
Titolo
Name
Nome
*
Surname
Cognome
*
Home Address
Indirizzo
*
Town
Città
*
Country
Paese
*
PostCode
Cap
*
Phone / Mobile
Telefono / Cellulare
*
ex: +39 055 1234567
Email
*
Passport n.
Passaporto n.
Birth date
Data di nascita
Accompanying person
Accompagnatore
Group Leader
Responsabile gruppo

Institute of Provenance/Company
Istituto di provenienza/Azienda
*
Profession
Professione
*
Address
Indirizzo
Town
Città
Country
Paese
PostCode
Cap
Tel

ex: +39 055 1234567
Fax

ex: +39 055 1234567
Email

In case of billing to the institute/company, please
fill in all the non-compulsory fields.

In caso di fatturazione all'istituzione o azienda,
si prega di compilare anche i campi non obbligatori


* required field /campo obbligatorio


Uploading fees
    Total Price  
Degree Database - 1 project uploading fee 
€35
    Total Price  
Degree Database - 2 project uploading fee 
€70
    Total Price  
Degree Database - 3 project uploading fee 
€105
Fees
    Total Price  
Degree Expo in Florence - 1 project  
€40
    Total Price  
Degree Expo in Florence - 2 project  
€80
    Total Price  
Degree Expo in Florence - 2 project  
€120
* required / obbligatorio
** (Max one item) / ** (Massimo un elemento)

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