Registration form

Personal information

Surname:
Name:
Private address:
City:
Tel:
Email address:
Title:
Institution:
Institution address:
City:
Tel:
Fax:
Workshop | € 250,00 VAT included
Workshop + social dinner | € 300,00 VAT included
Later at the Conference Location : Workshop + social dinner | € 350,00 VAT included

Invoice information

Surname and name / Institution:
Address:
City:
VAT Number or National Insurance Number:

Informations

Payment:

Bank transfer:
MCR c/c 5655/0 della Cassa di Risparmio di Cento, sede di Ferrara, v.le Cavour 41
IBAN: IT41 T061 1513 0000 0000 0005 655; SWIFT CRCEIT2C
Bank cheque (account payee only) out to MCR for CONVEGNO "UNIVERSE"

Please send a copy of the payment order by email (info@mcrferrara.org) or by fax +39.0532.213560