Family Name (required) Name (required) Mrs./Mr. (required) Mrs. Mr. Country (required) Full Name of the person you are accompanying(required) Email (required) Which type of conference fee for accompanying persons did you choose? (required) Reduced fee (80 euros - covers visit of the square of miracles and social dinner) Full fee (180 euros - covers visit of the square of miracles, social dinner and lunches and coffee breaks) Payment Type (required) Credit Card PayPal Bank Transfer If you performed a bank transfer, please provide its number Data for Receipt (Including receipt header, institution, address and fiscal code) Are you attending the social dinner? (required) Yes No Do you need a particular diet? (required) Yes No If you answered yes to the previous question, which kind of particular diet do you need I hereby authorise the congress organisers to handle and process my personal data under the Italian Legislative Decree n.196 of 30/06/2003. Do you accept? Type the code shown below:
