12th International Conference on Sustainable Development of Historical Cities, based on Sound-Tourism and Education


REGISTRATION FORM

( 14th - 17th November 2008)

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

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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


Fees
    Total Price  
Registration fee  
€150
* required / obbligatorio
** (Max one item) / ** (Massimo un elemento)

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