Proceedings of the Conference - Values and Criteria in Heritage Conservation


PAYMENT FORM

( 2 - 4 March, 2007 )

Personal information
Institute of Provenance / Company

Gender
Sesso
*
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


Fees
    Total Price  
1 copy 
30
    Total Price  
2 copies 
60
Other
    Total Price  
Shipping fees for Italy (1 book) 
8
    Total Price  
Shipping fees for Europe, Russia excluded (for 1 book) 
14
    Total Price  
Shipping fees for Asia and America (for 1 book) 
19
    Total Price  
Shipping fees for Oceania 
25
    Total Price  
Shipping fees for Italy (2 books) 
16
    Total Price  
Shipping fees for Europe, Russia excluded (for 2 books) 
28
    Total Price  
Shipping fees for Asia and America (for 2 books) 
38
    Total Price  
Shipping fees for Oceania (for 2 books) 
50
* required / obbligatorio
** (Max one item) / ** (Massimo un elemento)

Leave a message



Informative about personal details protection, law 675/1996


If you proceed you expressly accept th rules and the privacy policy adopted by
the website FLY-EVENTS.COM and written above.


(Press once and wait)