Registration Form

We're sorry - You must have JavaScript enabled to view this form.

1^st International Conference on genus Cervus
Fiera di Primiero (Trento), Italy • September 14-17, 2007

undefined

PARTICIPANT

First Name:

Surname:

Sex:

Affiliation:

Address :

Town:

Postcode:

Country:

Phone:

Fax:

E-mail:

ACCOMPANYING PERSONS

Surname:

Name:

Sex:

Surname:

Name:

Sex:

Surname:

Name:

Sex:

ARRIVAL and DEPARTURE INFORMATION

Arrival date: (YYYY-MM-DD hh:mm)

Arrival place:

Departure date: (YYYY-MM-DD hh:mm)

Departure place:

REGISTRATION FEE

Full Member

Student (more info)

Standard fee
(by March 31,2007)

170 €

85 €

220 €

110 €

Late registration

TOTAL AMOUNT

OTHER INFORMATION

Would you like to present:

On September 16, 2007, registration for the

Registration for the Welcome Party on September 14, 2007

PAY BY:

Credit Card

Wire transfer

Credit Card Payment is handled by Si Servizi • BANKPASS Web.
Please wait a minute or so until their secure form shows up.

Privacy Information
In accordance with the Italian Legislative Decree 196/2003, we shall use your personal data only for purposes related to the 1st International Conference on Genus Cervus and we are therefore responsible for its use. Should you wish to cancel or change your address at any time, please contact

English

Italian

Organization