Family Name (required) Name (required) Mrs./Mr. (required) Mrs. Mr. Academic Title (required) Email (required) University/Institution (required) Department/Institute Country (required) Payment Type (required) Credit Card PayPal Bank Transfer Fellowship Grant offered by Stelar 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:
