64° GEI - Società Italiana di Biologia dello Sviluppo e della Cellula

Registration form
logo GEI

L’Aquila, 11th -14th June 2018

REGISTRATION FORM
Please fill all the fields on the side.
For the fees payment, please make sure to do the bank transfer using the following instructions:

Payee: COSIT L’Aquila, Via Aia Chiavella 11/E – loc. Bagno Piccolo – 67100 L’Aquila (AQ)
IBAN: IT79T0832703602000000003979
BIC: ROMAITRR
Payment description text: 64° GEI Subscription by “NAME” “LAST NAME” code: (please refer to your pdf after subscription)

Please note that the fee is:
– REGULAR – Young (person with no permanent position): € 130,00
– REGULAR – Senior (employed): € 180,00.

The conference registration fees include: access to all official conference sessions, the conference proceedings, a participant kit, admission to the Welcome cocktail on Monday evening, Coffee breaks (12 th – 14 th June), Lunch (12 th -14 th June), a visit to Santa Maria Assunta abbacy (Bominaco) (13 th June) and of ancient city walls of L’Aquila (11 th June). All participants registered at the conference will receive an attendance certificate and will be delivered at the end of the conference directly at the table of the organizational secretariat.
The conference registration fees do not include the social dinner (€35,00). For organizational reasons, please, confirm your participation during the compilation of registration form.
The registration of young people without permanent position requires the sending of letter of declaration signed by the head of the laboratory, indicating the status of student, Phd student, Post-Phd or fellow position.
The accompanying persons must register on the same registration form of congressman. They must not be authors or co-authors of the presentations. For the accompanying persons the congress fee  is € 80,00 and does not include the conference proceedings, participant kit, the attendance certificate and the social dinner (€ 35,00).

Futher informations
segreteria@didima-comunicazione.it
+ 39 329 313 71 71
+ 39 349 295 48 35

gei2018laquila@gmail.com
+39 0862433267

Conference Online Registration
Please fill in the form below

*Required Fields

First Name*:

Last Name*:

Email*:

Phone Number*:

Role*:

Young (person without permanent position); Senior (employed)

Street Address*:

City*:

Country:

Zip Code*:

University/Department:


Other Information

Date of Birth (dd/mm/yyyy):

Birth Place:

Accompanying Persons (First Name and Last Name):

Particular Requests:

Allergies/Intolerances:

Reduced Mobility:


Billing Details

In the case of legal entity in the National Insurance Number (NIN) field, it is possible to repeat the VAT number

First Name, Last Name (or Business Name):

National Insurance Number (NIN):

VAT number:

Fiscal Address:

City:

Country:

Zip Code:


Topics Congress Sessions*

Cell death, Differentiation and Cell signalingNeuronal development: order and disorderNeurodegenerationsEvolution and DevelopmentStem cells and Cancer Stem cellsGametogenesis and reproductionBiomaterials and tissue regenerationBiomaterials, nanoparticles, nanostructuresDevelopmental toxicityMiscellaneous


Social Dinner*

I will attend social dinner on June 13th
YESNO


Letter of declaration

Only for person without permanent position

Only files with extension allowed:.gif, .png, .jpg, .jpeg o .pdf


Calculate fees

Please insert quantity in each field

Subscription type:

REGULAR-YOUNG (€ 130,00)
x 130€ =

REGULAR-SENIOR (€ 180,00)
x 180€ =

Accompanying persons (€ 80,00)

x 80€ =

Social Dinner partecipants: (€ 35,00)

x 35€ =


Please accept our privacy policy

Accept terms and conditions before proceeding. Ai sensi dell'Art. 13 D.Lgs. 30 giugno 2003 n. 196 in materia di trattamento dei dati personali, autorizzo la Società DIDIMÀ Comunicazione Srls al trattamento dei dati secondo la predetta legge.


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